TN Search Talent Contestant Registration Form

Talent Information

Contestant Name

First NameLast Name

What is your talent?

Birth Date

MonthDayYear

Grade

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Gender

Parent/Guardian Information

Name

First NameLast Name

Home Number

Area CodePhone Number

Cell Number

Area CodePhone Number

E-mail

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Generation for Creation during the talent contest. Parental Media Release and Conduct Agreement: Signed by each contestant and parent.

We the above name, give our consent for Generation for Creation to include the above named program participant in activity videos, photographs, and/or interview for the use of Generation for Creation media such as cable channels, GFC Websites, publications, displays and or presentations reporting on Generation for Creation programs. In addition, it is understood that the verbal and lyrical content of the above named talent act and the conduct and attire of its performers be consistent with established guidelines and is subject to immediate termination by the program director responsible for the event.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.