Sign up Form-Dec. 2, 2022-Pelham's Got Talent 
Fill if there is any interest in showcasing your talent - students, siblings, caregivers, teachers, staff are welcome to participate.  
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Email *
Parent/Guardian Name & Contact Number *
Performer's Name / Grade  *
Performer's School  *
How'd you hear about the show? *
Check all segments your performer would likely participate in (We encourage the children to participate in as many segments as they'd like). *
WAIVER & CONSENT:  This is a waiver that must be "agreed to" by a parent/guardian for each child participating in the December 2022 Pelham’s Got Talent Show brought to you by SEPTA. If we do not have a waiver for your child, we cannot include the act in the final broadcasted performance:                                                                    I hereby release Pelham SEPTA from any and all liability and damages related to this event for myself and all participants from my household. This includes, but is not limited to, unintended online circulation of my child's photo or video(s) and unintended loss, damage, or poor video editing or photo quality related to participation in the December 2022 Pelham’s Got Talent Show. Pelham SEPTA reserves the right to publish this content online for the sole purpose of broadcasting the performance. I understand that this waiver means I give up my right to bring claims, for myself or family members, seeking damages, whether known or unknown, foreseen or unforeseen. *
PTA membership status *
SEPTA is a district wide PTA. Which best describes you? *
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