Corkys Talent Show 2021

TALENT REGISTRATION FORM

Name *

First

Last

Email *

Phone *

Your Age:

Selected Value: 18

Head shot Photo (for advertising purposes)

Click or drag a file to this area to upload.

Please provide an uncluttered photo of you performing your talent or promo or marketing material.

Consent to Photo release (in conjunction with this contest only)

Date / Time (June 2-5 only, no other dates accepted for Tryouts) *

Date

Time

Describe your Talent *

Date / Time

Date

Time

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