Charitable Outreach

Charitable Outreach Section

Name
Address
City
State
Zip
Phone
Email
Age
Gender	Male Female
Participating Category:	vocal adult vocal (age 19 and up)
A non-refundable registration fee of $25 (per act) is requested.
Amount
Type of Payment
Account Number
Expiration Date
V-Code (3-digit on back)
Name as it appears on card
How did you hear about Kean Quest Talent Search and why did you decide to participate?

Checks can be mailed with completed form.

Please make check payable to St. Barnabas Charities and send to the address below

Mail to:
St. Barnabas Charities
Kean Quest Talent Search
5850 Meridian Road
Gibsonia, PA 15044