Yakima's Got Talent 2012 Entry Application Juniors
Verified
Name Of Act
*
Group Act
*
Yes
No
Name of Contestant
*
First and Last Name (If this is a group act, please specify a group leader)
Email
*
Street Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Artist or Group Photo
Please submit a photo (jpg) of yourself or your group that you would like to be used for promotional purposes.
Brief Description of Act
*
Please include instruments, props, audio/visual support, etc that will be used.
Confirmation
Please confirm you are a human, thank you! This helps prevent spam and false applications.