Fill out the application in person, or copy this entry form and past into an email. Fill it out and email it to indyscitech1@gmail.com. Entry fees may be paid through our donation button or in person. All entries must be submitted by September 13th to participate.

 

KIDS HAVE TALENT
2022 TALENT SHOW ENTRY FORM

CONTESTANT INFORMATION:

NAME: ________________________________________________ AGE:__________

ADDRESS:_____________________________________

CITY: ________________________STATE: ______

PHONE:______________________________________

DATE OF BIRTH:_____________________________

CATEGORY INFORMATION: (Circle One) CHILDREN’S (Age 5-11) Youth (Age 12-18)
TYPE OF ACT: Vocal (Type)_________________________ Instrumental(Type)________________________

Dance (Type) ________________________
Miscellaneous (Type)_______________________

NAME OF SELECTION_______________________________________________

AUTHOR__________________________________________________

GROUP NAME (Limit 5 to Group)____________________________________________________

MEMBERS IN GROUP BIRTHDATE ADDRESS PHONE NO.

Information on each member MUST be included above. All members MUST meet the age qualifications of 5-18 as of September 24th, 2022. Each participant MUST have a signed Release Form from parent or guardian. CONTESTANTS MAY COMPETE ONLY ONCE each year.

Please list below the contact name & complete mailing address where all correspondence should be mailed:
Parent or Guardian _________________________________________________ Phone____________________________________
Address___________________________________

City_______________________ State_______________

Entry Fees: $10.00. A non-refundable check or money order payable to C.F.F.I. Entry Form must be signed by Parent or Guardian. Applications MUST to be received by 5:00 pm Tuesday, September 13, 2022 at ISTC, 125 S. Penn. Ave., Independence, KS 67301. (Hours 1:00-5:00 Mon.-Sat.)

Medals will be awarded to first, second, third place winners, as well as People’s Choice.

I (we) have read the rules governing the Talent Contest and agree to abide by them.
I (we) release to the Talent Show any photos, film or publication.
Signature(s) of all Contestants in act _________________________________________________________

I have read the rules governing the Talent Contest and give my child permission to participate.
Signature of Parent or Guardian __________________________________________

Date _______________