Dentistry's Got Talent Entertainment Application

Phone *

Email *

What is your talent category? *

If you chose open format what is your talent?

Please provide a short biography in the third party (DO NOT USE I). Maximum of 50 words. Content WILL BE edited by The Dental Festival Staff if it is too long. *

Please upload a professional high resolution headshot image. If chosen, you are agreeing to have your photo used for The Dental Festival marketing material. You are also agreeing to have your photo posted on (but not limited to) The Dental Festival, Inc website, Instagram, and other social media platforms. *

I agree to terms & conditions provided by the company. By providing my contact info, I agree to receive communication from the business.