LexGotTalent Registration Form
Virtual Audition
Name of Participant
First Name
Last Name
Group Name (if applicable)
School Name
School Grade
Date of birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Other
Prefer not to say
Participant Email
example@example.com
Participant Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Participant Phone Number
Please enter a valid phone number.
Parent Name
First Name
Last Name
Parent Email
example@example.com
Parent Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Phone Number
Please enter a valid phone number.
Back
Next
Act/Performance Information
Type of Act
Singing
Dance
Rap
Spoken Word
Drama
Instrumental
Name of Act
Name of Song (if applicable)
Description of your act
Do you need a piano?
Yes
No
Will you need to use a sound track for your performance?
Yes
No
Sound Track Link
or Sound Track File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How long have you been practicing your act?
Have you demonstrated your talent somewhere before?
Yes
No
If yes, please explain here
Do you need special equipment to make your show happen?
Yes
No
If you need it, write down these equipment.
Have you been on any TV show before?
Yes
No
If yes, please give the name of the TV shows
Why do you want to participate in this talent show
Please write down the most important events in your life
What's the most interesting thing you can tell about yourself?
Headshot
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Video Link (Youtube, Facebook, ticktok, etc)
Video Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Terms & Conditions
PHOTO RELEASE FORM: I hereby grant the LexGotTalent and affiliates permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the LexGotTalent and affiliates and will not be returned. I hereby irrevocably authorize the LexGotTalent and affiliates to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.I hereby hold harmless, release, and forever discharge the LexGotTalent and affiliates from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I agree
TERMS & CONDINTIONS: I hereby consent that I have read, understand and will abide by all terms and conditions.
*
I agree
NOTFICATIONS: I content to receive notification by email, voice call or text from LexGotTalent and Affiliates.
*
I agree
PARENTAL PERMISSIONS: I give permission for my child to submit this application and participate in the LexGotTalent show performance.
*
I agree
Parental or Guardian Signature
Submit
Submit
Should be Empty: