Talent Showcase
Home

Unusual or Funny Talent Clip Submission Form
Personal Information
Name
Address
City State Zip
Phone 1 Home   Cell   Business
Phone 2 Home   Cell   Business
Date of Birth Age    Gender Male   Female
Email Address  
Profession/Occupation  
 
Performance Information
Description of Unusual or Funny Talent
# of People in Performance  
Equipment Requirements  
Music Accompaniment  
  CD: Track #  
  Instrument (you must supply)  
Vocal Accompaniment  
  Vocal Microphones  -  Qty Needed  
  Instrument Microphones - Qty Needed  
Furniture/Other   
 
Bio/Background
When did you start doing this & why?
What was your most memorable event (relating to your talent)?  Describe it.
Where were you born and where where you raised (City, State)?
List your hobbies:
List any additional information you wish to share:
How did you hear about this (be specific, if possible):
     
Are you willing to appear on the show?

Be sure to send in a tape showing your talent to:

Talent Showcase
PO Box 196
Kings Park, NY 11754
     
Indemnity, Release & Waiver
 
By submitting this application, I hereby consent to the recording and use by the producers of the Talent Showcase (the "Producers") of my voice, actions, likeness, name, appearance and biographical material (collectively "Likeness") in any and all media connection with the Talent Showcase (the "Program") without any royalties or payment of any kind in perpetuity. I understand and agree that the Producers have full rights, title and interest in my performance in the Program. I release the Producers from any and all liability arising out of their use of my Likeness. I further agree not to make any claim against the Producers as a result of the recording or use of my Likeness and hold the Producers harmless against any and all loss, damage, death, and/or injury to myself, arising directly or indirectly out of or in connection with my participation in the Program.

By checking this box, you hereby agree, as if signed by hand, to the Indemnity, Release and Waiver above. If the registrant is a minor, you acknowledge that you are the parent and/or legal guardian of the registrant and consent to the above Indemnity, Release and Waiver above.

Note: The above box must be checked for registration to be accepted.  You will be required to sign this same release in person prior to being on the show or at an audition.

 
Form Validation
To prevent spam submissions, please type the following into the box below: 2007
A value is required.Invalid format.Minimum number of characters not met.The entered value is less than the minimum required.Exceeded maximum number of characters.The entered value is greater than the maximum allowed.