Expression of Interest & Media Release Form

EXPRESSION OF INTEREST & MEDIA CONSENT FORM

Photographic/video/audio/communication consent and release
EXPRESSION OF INTEREST FOR DIWALI 2024
Guardian /contact person Name
Group leader / Parent Name
Participant Full Name*

First NameLast Name
Age
Email*
example@example.com
Phone Number

Area CodePhone Number
Performance Name
Eg: Bollywood Group Dance By Name
Group Name (If applicable)
Eg: Dance group Name
Group Members list of full Name ( if applicable)
Short synopsis of Performance
please provide a short description of the performance to announce at the start
Duration of performance
Eg: 3min
Special Requirements
Eg: Number of Microphone , stand ect.
Performance song (MP3 format)

Browse Files
upload or email to tbiainc@gmail.com Cancelof

EXPRESSION OF INTEREST & MEDIA CONSENT FORM