2026 Memphis Juneteenth Youth Talent Registration

COMPLETE ALL INFORMATION [SOLO or TEAM]

** PLEASE READ & COMPLETE QUESTION THAT APPLIES**
MAIN CONTACT PERSON Information

Parent/Guardian/Team or Group Leader
Name of Person Filling Out This Form*

First NameLast Name
Select from option

Parent/GuardianTeam/Group Leader
Best Phone Number*

Area CodePhone Number
Email Address*
Secondary Contact Person for TEAM/GROUP [Name/Phone Number]
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INFORMATION ABOUT SOLO PERFORMER [ONLY]

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Youth Name

First NameLast Name
Talent Youth Performing
[ie.,Singing, Dancing, Spoken Word, etc]
Age of Youth Performing
MUSIC ACCOMPANIMENT [IF NEEDED]
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INFORMATION ABOUT TEAM/GROUP PERFORMANCE [ONLY]

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TEAM/GROUP NAME [To be provided in Promotion Materials]
HOW MANY PARTICIPANTS IN TEAM/GROUP
WHAT ACTIVITY WILL TEAM/GROUP BE PERFORMING?
ADDITIONAL INFORMATION HERE
BE AWARE OF SCAMS DURING THIS SEASON

TELISA FRANKLIN MINISTRIES
Registration Form & Fee ($25.00) Must Be Submitted before Scheduling Confirmation.

NO OTHER PAYMENT FORMAT WILL BE PROVIDED.
Should be Empty:

BE AWARE OF SCAMS DURING THIS SEASON