Proctor’s Got Talent-Road to the Big Stage

Performer/Group Name:(Required)

Number of Participants (if group):

Type of Performance (Dance, Music, Comedy, Spoken Word, etc.):(Required)

Age / Grade Level:(Required)

Age Range of Participants:(Required)

Performer / Group Contact Person:(Required)

First Last

Phone Number:(Required)

Email:(Required)

Title of Performance (optional):

Estimated Length (max 3 minutes):(Required)

Performance Link:

Please provide a URL to a video or social media platform

Peoria Park District Electronic Forms