Welcome       Submission       View Entries       Choose Your Favorites       Winners   
 
Registration
 
Register for our contest by filling out the form below.
 
General Information
 
* First Name: 
 
  First name of first entrant. (In case of group act please use the fields below if applicable.) If there is only one member of the act please skip down to the"Username:" field.
 
* Last Name: 
 
  Last name of first entrant. (In case of group act please use the fields below if applicable.)
 
* Birthday: 
   
 
  All entrants must be between the ages of 13 & 21 at the time of the semi-final performance on September 24, 2011.
 
* Gender: 
 Male      Female
 
  Gender of first entrant. (In case of group act please use the fields below if applicable.)
 
2nd Entrant First Name: 
 
  First name of second entrant. (If Applicable)
 
2nd Entrant Last Name: 
 
  Last name of second entrant. (If Applicable)
 
2nd Entrant Birthday: 
 
  Please enter DOB of second entrant MM/DD/YY. (If Applicable)
 
2nd Entrant Gender: 
 
  Please denote the gender of second entrant if applicable (M/F)
 
3rd Entrant First Name: 
 
  First name of third entrant. (If Applicable)
 
3rd Entrant Last Name: 
 
  Last name of third entrant. (If Applicable)
 
3rd Entrant Birthday: 
 
  Please enter DOB of third entrant MM/DD/YY. (If Applicable)
 
3rd Entrant Gender: 
 
  Please denote the gender of third entrant if applicable (M/F)
 
4th Entrant First Name: 
 
  First name of fourth entrant. (If Applicable)
 
4th Entrant Last Name: 
 
  Last name of fourth entrant. (If Applicable)
 
4th Entrant Birthday: 
 
  Please enter DOB of fourth entrant MM/DD/YY. (If Applicable)
 
4th Entrant Gender: 
 
  Please denote the gender of fourth entrant if applicable (M/F)
 
* Public Name: 
 
  Must be 4-10 characters. If submitting a group act please use one username, registration, and submission.
 
* Address Line 1: 
 
  Semi-Finalists will be notified by mail once all entries are collected.
 
* City: 
 
* State: 
 
* Postal Code: 
 
Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
 
 
   Official Rules      Help      Feedback   

26th Annual Youth Talent Contest

    Powered by © UPICKEM    All rights reserved.