Entry Form | Village Talent Show

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Fundraiser Benefits Samaritan Counseling, Guidance, Consulting

Oct. 19, 2023 | 6-8:30PM | Sewickley Heights Golf Club

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Talent Show Entry Form

First Name

Last Name

Email

Phone

Address

Select your talent category.

Performing Arts

Photography

Fine Arts

Arts & Crafts

Textile Arts

Videography

Click on the box to the LEFT of your category. If you haven't yet, READ the category descriptions.

Describe what you will be exhibiting or performing.

Include any needs/special requests, or questions you have.

Upload a high resolution photo of yourself.

Selfies must be in focus, preferably without others in the photo.

Upload supported file (Max 15MB)

Please check all that apply.

I will donate a gift basket or service to the silent auction.

I choose to allow guests to reserve an item for purchasing or commissioning.

I understand that I am committing to do my best to raise $500, and if I raise more, I will be automatically in the running to win the grand prize fundraising trophy.

I give my permission to be photgraphed or videographed and allow Samaritan to post or publish this media for marketing purposes.

Thank you for entering! You are officially "star status." We'll be in touch.

Contact

Beth Healey

Director of Development

and Marketing

888.200.9746 ext. 1001

Event Proceeds Benefit:

Counseling . Guidance . Consulting

© 2023 Samaritan Counseling, Guidance, Consulting

202 Beaver St., 3rd Floor, Sewickley, PA 15143

Venue:

Sewickley Heights Golf Club . 126 Backbone Rd., Sewickley, PA 15143

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