Grant County Fair
Talent Search Contest
Aug. 10, 2017 6:00 PM • Sound Check Monday Aug. 7, 2017
Entry Form
Entry Deadline: Monday, Aug. 7, 2017
Contact Carolyn Stout at 541-575-1827
NO ENTRY FEE
Name of group or individual performing:_________________________________________________________________
Name of person submitting application:_________________________________________________________________
Address:___________________________________City:_________________State:________Zip:__________________
County of Residence:_________________________(required) Phone Number__________________________________
Provide information for the announcer about yourself (or group members) that the announcer can use when
introducing you or your group. You can write this information on the back of this form
Number of people in act:_________
Name (Last, First)
DIVISION:
Children
(all members ages 5-9)
List ALL group members below (use back if necessary)
Age
Birth Date
Youth
(all members ages 10-17)
Home/Cell Phone
Adult
(any member 18 and over)
AMATEUR STATUS:
____ I certify that no person listed above belongs to a musicians’ union, nor does any person’s talent provide more than
50% of his/her income (if income exceeds &7,500). I/we understand I/we may be required to submit tax information.
NOT PREVIOUS STATE FAIR WINNER:
____ I certify that no person listed above placed first at the State Fair Talent Contest in the prior 2 years
TALENT CATEGORY: ____ Vocal
____ Magic
____ Other
____ Dance ____ Instrumental ____Comedy
____ Band (no more than 3 instruments. No drum sets.)
Briefly describe your act, including instruments, props, choreography, etc. (Performance may not exceed 5 minutes)
_______________________________________________________________________________
_______________________________________________________________________________
Name of piece to be performed:___________________________________________________________________
Type of accompaniment: _______Thumb Drive _______CD _______Piano _______Other
Equipment needed:_______ Mics_______Electronic Piano (must supply your own) CD Player_______
I/we wish to enter the Grant County Talent Contest and agree to abide by the rules. I
certify that all information provided above is true and accurate.
Signature:________________________________________________________________Date:________________
2017 H GRANT COUNTY FAIR H PAGE 29