50+Plus Orlando Has Talent Entry Form ——— DO NOT USE - 50 Plus FYI Resource Network for the 50 Plus Community of Central Florida

Entry Name (Performer)*

First Last

Stage Name If Different from Entry Name

Performer(s)*

Individual Performer
Group Performer

Group Member Names (required if more than one person)

Entrant's Mailing Address*

Street Address City ZIP Code

Email*

Enter Email Confirm Email

Home Phone*

Cell Phone*

Questions or Miscellaneous Information (Optional)

Category*

Age Range*

50 to 59
60 to 69
70 to 79
80+

Gender*

Female
Male
Male & Female

Describe your talent in 300 words or less:*

I will need to have*

Electricity
Accompanist (I will provide.)
CD (I will provide.)
Nothing Needed

Preferred Audition Date*

Select preferred day—options listed below.

I have read and agree with Rules & Regulations.*

Rules & Regulations

Entry Fee

Price:

Payment Options

By Credit Card - receipt will be emailed
Pay By Check

To pay by check, submit the form, check your email for a PDF copy of the entry form. Then print the PDF form and mail with a check. Please still click submit so that we will know you're mailing a check. Make checks payable to 50+Plus FYI Resource Network. Note 50+Plus Orlando Has Talent on the lower left check Mail to 191 W. Jessup Avenue, Longwood FL 32750

Credit Card

Card Details

Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

50+Plus FYI
Resource Network

50+Plus Orlando Has Talent!

50+Plus Orlando Has Talent! entry form 2020