Cedar County Fair Talent Show Wednesday July 15, 2015 at 7:30

Cedar County Fair Talent Show
Wednesday July 15, 2015 at 7:30 pm
Entry Form
Prizes Awarded for Top 4 Places
Three Divisions
Name of performer
___________________________________________________________
Address___________________________________, City & State _________________________
Performance Category
Youth Division _________ Jr Division________
( 11 & Under)
Sr Division_______________
(12 to 17 years of age)
Group Name________________________________
Individual_______________
(18 years of age and older)
No in Group_____
Music, Song or Performance Title______________________________________
Type of Performance
Singing _____________Dance_____________
Instrument_______________
Acting________ Comedy________Cultural Arts_________
Performer must provide their own instruments, music and props. We will be supplying
amplifiers, microphones, stands, and sound equipment.
(An entry form must be submitted for each performer)
Signature of performer ___________________________________________
I give permission for the individual stated above to perform in the Cedar County Fair Talent Show.
(Guardian must sign here if Jr. Division performer)
I do ______ do not______ give permission for my picture to be used for promotion of the Cedar
County Fair, such as newspaper and website.
Mail form to Amber Collier, 401 S Capital Ave, Hartington, NE 68739 or e-mail
amber.collier.ac@gmail.com