SEND ENTRIES TO:

JEFFERSON COUNTY FAIR

Attn: ENTRY CLERK

P.O. BOX 8003

WATERTOWN, NY 13601

AMATEUR TALENT CONTEST ENTRY FORM

(ONE ENTRY FORM PER ACT)

________________________________

Name (Contact person if group entry)

________________________

Social Security Number

_______________________________________________

Street

___________________________________

Date of Birth

______________________________

City

___________

Zip

________________________

County of Residence

__________________________

Telephone Number

Which competition are you entering ?

_____Age 5 - 12 ____Age 13 or Over
_______Individual ______Group

Groups must submit, on the second page of this application, a list of the names, ages, and social security numbers of each performer in each act

Will you use recorded music for you act ? (circle one)

Yes

No

Title of the music_________________________________________________________________
Name of the act as it is to be announced*_____________________________________________

____________________________________________________________________________

Circle the ONE below which best describes your act:

1. Vocal Solo

2. Vocal - Group

3. Instrumental Solo

4. Instrumental - Group (no bands)

5. Jazz Dance Routine

6. Tap Dance Routine

7. Ballet

8. Ballet/Lyrical

9. Any Other Act - Musical

10. Any Other Act - Non-Musical

List ALL acts you will be in:_________________________________________________________ 

____________________________________________________________________________________________________

____________________________________________________________________________________________________

Number of performers age 12 and under_______      Number of performers age 13 and over___________

Total number of contestants performing in a group act._______ (In a duo, if one contestant is 12 and the other is 13 and over, they will compete in Section 2.  In a group of three or larger, if 50% or more of the group is 13 and over, they will compete in Section 2.) No contestant age 13 will be allowed to compete in Section 1.  Page two must be completed for groups.

* No promotions will be made for any individual or business or dance school.

Introductions will be done by name of contestant or name of group only.

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