Momma's Safe Haven 13th Annual "DC's Youth Got Talent" Black History Show
THANK YOU FOR YOUR INTEREST IN PARTICIPATING IN OUR 13TH ANNUAL DC'S YOUTH GOT TALENT' BLACK HISTORY TALENT SHOW SATURDAY FEBRUARY 28, 2026 12-3PM AT WOODY WARD COMMUNITY CENTER. WE WILL HOST A MEETING EVERY TUESDAY AT 7PM VIA ZOOM. OUR FIRST MEETING IS TUESDAY FEBRUARY 3, 2026  COMPLETE THIS FORM TO BE ADDED TO THE SHOW AND TO RECEIVE THE ZOOM LINK.
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What part of the show would you like to add value *
Required
Name, phone number and email *
Stage Name/Group Name/Business Name/Other
Performance Style/ Partner/Vendor Product or Information  *
Are you open to participating in media promotion for the show? *
WHAT DO BLACK HISTORY MEAN TO YOU?

Parent/Guardian Permission to Participate

I give permission for my child listed above to participate in the Momma’s Safe Haven Talent Show Program. I understand that participation is voluntary and that reasonable supervision will be provided. I release Momma’s Safe Haven, its staff, volunteers, and partners from liability related to my child’s participation, except in cases of negligence.


By checking this box, I confirm that I am the parent/legal guardian and grant permission for my child to participate.

 *

Photo, Video & Media Release

I give Momma’s Safe Haven permission to photograph, record, and/or video my child during the Talent Show Program. I understand that these images or recordings may be used for promotional, educational, or reporting purposes, including social media, website, flyers, and grant reporting. I understand no compensation will be provided.

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Will you or your Organization/Business be able to make a tax deductible donation? Paypal/Zelle: info@mommassafehaven.org CashApp: $BevFrances111 *
Do you have any questions, comments or concerns?
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