TALENTHON APPLICATION TO PERFORM IN THE WORLD EMERGENCY RESPONSE COALITION TALENTHON 1. Registration Date *2. First Name *3. Last Name *4. Email *5. Number *6. Are you a student? (copy) *No Yes7. School Name (Enter N/A if you are not a student) *8. Are you under 18 years old? (If YES you require parent cosent) *No Yes9. What Talent Are You Performing? *11. Do you think connectivity issues might hinder you from performing live? *No YesIf sending recorded video, send it to WhatsApp # +1571.295.235912. If you selected YES to question #11 above, please explain below (If NO, enter N/A): *13. I am a parent of the above student and I give my consent (copy) *No Yes14. Parent First Name (Enter N/A if not parent) *15. Parent Last Name (Enter N/A if not parent) *I consent to using my child's image, video, and name in WEN's media materials *No YesI consent to using my image, video, and name in WEN's media materials *No YesPhoneSubmit
