2023 Believe You Can! Talent Sheet

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Please fill out this talent form if you are interested in performing in the Believe You Can 2023 Talent Show hosted by the Keystone Chapter of the National Federation of the Blind of Pennsylvania.

NOTE: Deadline is September 30, 2023 or until we reach our maximum of 15 performers

Email *

Name (Please type the name you will perform under as well as your full name if different) *

Phone (please indicate whether cell of landline) *

Social Media Handles:

NFB Chapter, if any (NFB affiliation is not a requirement to be a performer)

Are you blind or visually impaired? Please respond yes or no

Yes

How would you categorize your act? Please check one. If "other," please provide a brief description

Remember there is a 5-minute time limit for all acts!

Acting

Comedy

Dance

Musical

Singing

Spoken Word

Other

Please provide a description of your act. What will you be performing? Include title, author etc.

How would you like to be introduced?

Hosts will provide brief introductions of each act. What would you like people to know about you? For example, have you performed before and where. Is this your first time performing?

Do you require any accommodations i.e. captioning, interpreter? Please give a brief explanation of any special requests

Send me a copy of my responses.

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