AGT Extreme Minor Form Please fill out the following form for EACH person participating in the show under the age of 18. 1Act Info 2Contact Info Who is your producer? Alexa Anjali Kayla Richard I don't know Act Name*Name of your act Are you a solo act or in a group? Solo Group Participant's Full Legal NameThe given name of the participating auditionee on birth certificate/government-issued ID Contestant's Date of Birth* MM slash DD slash YYYY Parent/Guardian #1 Full Legal NameThe given name of the Parent/Guardian that appears on government-issued ID Parent/Guardian #1 Email AddressEmail address we will have on file to contact you Parent/Guardian #1 Date of Birth* MM slash DD slash YYYY Parent/Guardian #2 Full Legal NameThe given name of the Parent/Guardian that appears on government-issued ID Parent/Guardian #2 Email AddressEmail address we will have on file to contact you Parent/Guardian #2 Date of Birth* 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? Yes No If Yes, when does the permit expire? Δ Share this:EmailPrintFacebookTwitter
