PS 130 Talent Show Entry Form
Performer Full Name *
Your answer
Talent *
Your answer
Music/Song/Title (If applicable)
Your answer
Grade *
Your answer
Teacher *
Your answer
Stage Equipment needed (mats, piano, etc.) *
Your answer
Guardian Full Name *
Your answer
Phone *
Your answer
Email *
Your answer
If you are performing together with other students, please include their information below. *Please note each student performing must fill out their own FULL participation form and have guardian signature.
Your answer
Guardian/Parent electronic signature
Your answer
Date
MM
/
DD
/
YYYY
Submit
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