Application

Quinte Has Talent – Application Form

Centennial Secondary School, Belleville, ON • Talent Show Date: November 29, 2025

Proceeds benefit: Paediatric Care (Kingston General Hospital) & Mental Health (Belleville General Hospital)

Application & Audition Deadline: November 1, 2025

Applicant Information

Full Name

Age (on Nov. 29, 2025)

Email Address

Phone Number

Parent/Guardian Name (if under 18)

Emergency Contact (Name & Phone)

Performance Details

Talent / Performance Type

Performance Title (if applicable)

Solo / Group

Length of Performance (max 3 minutes)

Technical Needs

Microphone(s)

Backing Track (must be provided by applicant)

Musical Instrument(s) – list below Other special requirements

Audition Video

Provide the video link here

Upload a short audition clip (maximum 1 minute) to a service like YouTube, Google Drive, or Dropbox, and paste the link above.

Agreement

I understand that if selected, I will perform live at Quinte West Has Talent on November 29, 2025 at Centennial Secondary School. I give permission for my name, photo, and performance to be used for promotional purposes.

Signature (use mouse, touch, or stylus)

I agree to the terms above.

Signature Name

Optional helper: type your name to render on the canvas, then adjust if needed.

Date

You will receive a confirmation on this page.