Pancake Day Talent Show Contestant Entry Form by 33bB93K3

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									                          Pancake Day Talent Show Contestant Entry Form
Name of Contestant/Group:____________________________________________________________
              (This is how your group will be listed in the program at the finals so please keep that in mind)

Address:___________________________________________________________________________
City/State/Zip:______________________________________________________________________
Age on Date of Finals, February 20, 2012:________________________________________________
                    (If this is a group, please list additional members on back of entry form with ages)
School(s) Attending:_________________________________________________________________
Parents’ Name(s):___________________________________________________________________
Parents’ Telephone Number:__________________________________________________________
Contestant’s Telephone Number:______________________________________________________
Alternate Telephone Number:_________________________________________________________
Email Address:_____________________________________________________________________
Instructor:_________________________________________________________________________
Instructor’s Work Telephone Number:__________________________________________________
Instructor’s Alternate Telephone Number:_______________________________________________
Type of Act (Dance/Vocal/ETC.):______________________________________________________

Name of Music:____________________________________________________________________

Any Special Items Needed (Lights/Mikes/Piano/Etc.):______________________________________

_________________________________________________________________________________

_________________________________________________________________________________

In Fifty (50) words or less describe your act, accomplishments, etc. This information may be used to
introduce your act in the competition:




All blanks must be filled out. Mark N/A in all not applicable blanks. All incomplete forms will be returned, not
entered, and entry fee will be retained. To re-enter, the completed entry form would have to be re-submitted,
along with an additional entry fee.

								
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