12 Step Music Fest

Talent Show Signup

Remember, to sign up for the Talent Show, you must have already purchased a ticket.

Good Luck!

Note: ENTER ONLY the LAST 5 digits of your ticket # (underneath the barcode).

Your Contact Info

* Ticket Number
* First Name
* Last Name
Address
* City
State
Territory
Zip Code
Country
* Contact Phone
* E-mail

Talent Info

Talent Type
Name of Performance Piece

Your Charity Info

* Charity Name
Address
City
State
Territory
Zip Code
Country
Charity Phone
Charity E-Mail
Charity Website
Include any special notes below
To prove you're a real person and not a form spammer - please answer the simple question below.
* 3 + five =
 
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Testimonial
It was awesome for me. My higher power gave me just what I needed all weekend... I have never enjoyed an event like this. I was able to remember where and what I did.
- Peter F