AGT 16 Minor Form Please fill out the following form for EACH person participating in the show under the age of 18. 1 Act Info 2 Contact Info Who is your producer?AlexaJohnKaylaLizaMegMiguelNigelReneeI don't knowAct Name*Name of your actAre you a solo act or in a group?SoloGroup Participant's Full Legal NameThe given name of the participating auditionee on birth certificate/government-issued IDContestant's Date of Birth* Date Format: MM slash DD slash YYYY Parent/Guardian #1 Full Legal NameThe given name of the Parent/Guardian that appears on government-issued IDParent/Guardian #1 Email AddressEmail address we will have on file to contact you Parent/Guardian #1 Date of Birth* Date Format: MM slash DD slash YYYY Parent/Guardian #2 Full Legal NameThe given name of the Parent/Guardian that appears on government-issued IDParent/Guardian #2 Email AddressEmail address we will have on file to contact you Parent/Guardian #2 Date of Birth* Date Format: MM slash DD slash YYYY Which Parent/Guardian will be accompanying the minor to the audition?Has your child applied for a California Work Permit before?YesNoIf Yes, when does the permit expire? Share this:EmailPrintFacebookTwitter
