Juneteenth Talent

1
Name of Act/Performer * This field is required.
2
Contact Name* This field is required.
First Name
Last Name
3
Email* This field is required.
example@example.com
4
Phone Number
Please enter a valid phone number.
5
What type of entertainment would you like to showcase?
singing
community call to action
dancing
poetry/spoken word
musical performance
other
6
Give us a brief description of the act you would like to perform
7
Feel free to upload a video clip of your talent
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Max. file size: 10.6MB
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Cancelof
8
I understand that all content performed at the Juneteenth event must be family friendly and void of explicit language and content. * This field is required.
YESNO
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