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Emory School of Medicine Art Gala- Talent Contribution Form
Filling out this form indicates your willingness to contribute your talent to the Emory School of Medicine Art Gala, on April 28, 2018 from 7:00 to 11:00 pm. It would be one act, not exceeding 10 minutes, and you would receive free admission to the event. Proceeds from this event will benefit the Emory School of Medicine Class of 2021 and the student-run clinics.

If you volunteer to contribute your talent at the event, you will be contacted with further details in the months prior.

Questions or concerns?

Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Affiliation *
Your answer
What talent will you be performing? *
Approximate length of presentation *
Your answer
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