Audition Form

Entry fees should be paid by credit cards. Please have your credit card information ready before completing this entry form. After we receive your audition form(s) and entry fee(s), we will send you an email with a Zoom link, and your audition number, as well as further instructions. Please contact [email protected] or 510-739-6900 ext.3320 if you any questions or would like to request for other payment options.

IMPORTANT: For individual acts, please submit one entry form for each act. For group acts, please submit one entry form for each group member in the group.

CONTESTANT INFORMATION

2nd CONTACT INFORMATION

TYPE OF PERFORMANCE

Please check the type of performance you will be performing:

Performance Type *

If Other or Combination, please Describe *

Type of Instrument (if applicable) *

Style of Dance (if applicable) *

Song Name & Artist/Composer *

PREFERRED AUDITION DATE

PERFORMER RELEASE AGREEMENT

Program’s Name: FCSN’s Special Needs Talent Showcase

Producer: Friends of Children with Special Needs (FCSN), FCSN volunteer photographers, and FCSN’s contradicted videographer and crew.

I, the undersigned, do hereby release all my rights to the sound and picture recording made of me by Friends of Children with Special Needs, its photographers, and its videographer, producer, and film crew. I hereby authorize the reproduction, sale, copyright, exhibition, and/or distribution of said recording by the said producer, or agents thereof, without limitation.

It is understood and agreed that said producer’s use of my appearance and/or the material supplied by me will not violate the rights of any person or organization(s) and will not incur any liability for payment to any person or organization(s). I do further release and hold harmless the producer and FCSN, its staff, against any liability and expenses (including attorney fees and expenses incurred by any of the above mentioned parties) with respect to any claim that my words, actions or any material supplied by me violate the right of any person or organization. I hereby release, discharge and agree to hold harmless FCSN, its photographers and videographers, his representatives, assigns, employees, or any person or persons, corporation or corporations acting under his permission or authority, or any person, persons, corporation or corporations, for whom he might be acting, including any firm publishing and/or distributing the finished product, in whole or in part, from an against any liability as a result of any distortion, blurring, or alteration, optical illusion, or use in any composite form, either intentionally or otherwise, that may occur or be produced in the taking, processing or reproduction of the finished product, its publication, distribution, or broadcast of the same, even should the same subject video inadvertently lead to personal ridicule, scandal, reproach, scorn or indignity.

In addition it is understood and agreed that FCSN, its photographers, and its producer of record, may, but need not, use said recorded programming, or photographs as is determined at the soul discretion of the representative(s) of FCSN, its photographers, and/or the producer of record.

Audition Entry Form