NHT Video Submission Application
Please read the Rules and Regulation portion on our website: www.norfolkhastalent.ca
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Act:
Equipment Reqired (sound, lighting, the only instrumentation provided for the Showcase will be a 88 key Digital Piano).
Headshot, (group or solo) file upload:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature. Younger than 18, then a parent/guardian must sign below
Parent/Guardian Signature
Continue
Continue
Should be Empty: