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Youth In Action Talent Showcase 2025

SECTION 1

PARTICIPANT INFORMATION

Participant's First Name*

Participant's Last Name*

Age Category*

(Select the age that the participant will be at the time of the event).

Birthday*

Year

Month

Day

School Name*

Grade (at time of event)*

Hobbies & Aspirations*

Areas of Talents*

Music Instrument

Vocal / Singing

Dancing

Poetry

Speech

Visual Art

Acting

Comedy

Sports

Other

SECTION 2

PARENT & GUARDIAN INFORMATION

First Name*

Last Name*

Phone #*

Email*

Full Mailing Address*

SECTION 3

CONSENT

By signing below you agree that the information given on this form is true and correct. You give Youth In Action Canada permission to use any photos, videos or audios from the event that may include your child in any of their promotional materials and advertisements.

Signature*

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Signature field is empty.

Youth displaying their talents loving environment

Youth In Action Canada

50 Kennedy Road

Brampton, Ontario

(905) 813-7721

Email

info@youthinactioncanada.org

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