Apply to Perform
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Best phone number to reach you *
Your answer
Birth date *
MM
/
DD
/
YYYY
Current Grade Level *
Your answer
School *
Your answer
City or area where you live
Your answer
If you will be accompanied by an adult(s), please provide a list of their names and contact information.
Your answer
Describe your performance. *
You may provide links to photos or videos that would help us understand your speech or performance. If you are applying as part of a performance group, please include the group's name.
Your answer
Please respond to ONE of the following prompts:
This section is required.
You’ve just reached your one millionth hit on your YouTube video. What is the video about?
Your answer
What is something about Dayton that inspires you?
Your answer
If you had the opportunity to bring any person – past or present, fictional or nonfictional – to a place that is special to you, who would you bring and where have you taken them? Why?
Your answer
What is your formula for success?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.