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Loch Lomond's Got Talent - Entry Form
First Name
*
Last name
*
Email
*
Phone
Birthday
*
Day
Month
Year
Talent
Singer
Dancer
Comedy
Ventriloquism
Acting
Mime Artist
Magician
Mind Reading
Juggling
Other
If other, please state below
About your act
Signature (parent/ guardian please sign if applicant is under 16 years old)
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