Shine Bright Talent Show Application

First Name*

Last Name*

Age*

Phone Number*

Email*

Talent Type*

Singing

Dancing

Magic

Comedy

Acrobatics

Other

Brief Description of Performance*

Accessibility Needs

Please let us know if you require any specific accommodations for your performance.

Would you like to receive information about our wellness support program for performers?

Would you like to volunteer or share your story?

Volunteer

Share my story

Both

No, thank you

Details

This is the official application for the Shine Bright Talent Show taking place on July 25 at 5pm. Show off your unique skills and grow with us!

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This event is supported in part by funding from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Questions? Email us at

Prevention Alliance of Lauderdale

Free admission. Open to the public. Prevention Alliance of Lauderdale is partnering with the Tennessee Department of Health.

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