Indian River's Got Talent Submission

Contestant Full Name*

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First and Last Name

Contestant Date of Birth*

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Phone*

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Use xxx-xxx-xxxx

Email Address*

We need a valid email.

Title and Description of Talent Act*

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Parental Consent - I agree to the use of my child's video for the purpose of this event.

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Type Parent/Guardian First and Last Name

Link to video*

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Please provide a link to the talent video storage site. Ex: Google Drive, Dropbox

By submitting this form you are giving ELC permission to the use of your video for the purpose of this event to be used on ELC website, youtube channel, and social media.

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Indian River's Got Talent Submission