Student Talent Show Sign-Up Form
VPhA USA's Annual Lunar New Year (Tet) Banquet will be hosted in Garden Grove this year at Diamond Seafood Palace on February 10, 2019 from 11am to 4pm. Festivities will include a multicourse lunch, live entertainment, dancing, raffles, red envelopes, a talent show, and much more!

Please complete the form below to participate in the Talent Show. Prizes this year include...
$500 for the winner
$300 for the first runner up
$200 for the second runner up

Requirements:
- Group must contain at least 3 pharmacy students (non-pharmacy students are also welcomed as additional members of the group)
- Act must be within 5 minutes long
- Sign-up by January 27, 2019

For questions, email info@vphausa.org

Email address *
Contact phone number *
Your answer
Group's name *
Your answer
Do you have at least 3 participants in your group who are pharmacy students? *
Required
Participants (Include full names & pharmacy schools) *
Your answer
What is your talent? (Please provide a brief description) *
Your answer
Do you require any special equipment or accommodations? (e.g. microphone, chairs, music, etc.) *
Your answer
Questions/Comments/Concerns
Your answer
A copy of your responses will be emailed to the address you provided.
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