LINCOLN COUNTY FAIR TALENT CONTEST
Sponsored by The Oregon Broadcast Center and the Lincoln County Fair
FIRST PLACE WINNER IN EACH DIVISION MAY COMPETE
IN THE 2003 OREGON STATE FAIR TALENT CONTEST
Entry Deadline: 5:00 pm, June 13, 2003 massage seoul
NAME OF GROUP OR INDIVIDUAL PERFORMING:
NAME OF PERSON SUBMITTING APPLICATION:
ADDRESS:
COUNTY OF RESIDENCE:
PHONE NUMBERS:Home:Work:Cell:
Message:Best time to be contacted:
NUMBER OF PEOPLE IN ACT:LIST ALL GROUP MEMBERS BELOW (use back if needed)
NAME (s)
BIRTH DATE (s)
HOME PHONE (s)
AGE (s)
DIVISION:____ YOUTH (All members 15 years and under)____ ADULT (Any member over 16 yrs)
AMATEUR STATUS:____I certify that I/We do not belong to a musician’s union nor does my/our talent provide more than 50% of my/our income.I/We understand I/We may be required to submit tax information.
NOT PREVIOUS SATE FAIR WINNER:
___I certify that I/We did not place first at the State Fair Talent Contestin 2000-2002.
TALENT CATEGORY:
____ Vocal____ Dance____ Instrumental____Comedy____ Magic____
Pantomime
____ Other________________________ Band(No more than 3 instruments. No drum sets.)
BRIEFLY DESCRIBE YOUR ACT, INCLUDING INSTRUMENTS, PROPS, CHOREOGRAPHY, ETC.
(Performance maynot exceed five (5) minutes, with one minute allowed for set-up, if any.)
NAME OF PIECE TO BE PERFORMED:
TYPE OF ACCOMPANIMENT:___Cassette Tape___CD___Piano___Other
EQUIPMENT NEEDED:
___ Wireless handheld mics (4available)___ Acoustic Piano___ CD Player___Cassette Tape Player
I/We wish to enter the Lincoln County Talent Contest and agree to abide by the rules.I/We certify that all information provided above is true and accurate.
SIGNATURE: ____________________________________(Parent or guardian must sign for minor.)
RETURN APPLICATIONS TO THE OREGON BROADCAST CENTER
906 SW ALDER – NEWPORT OR 97365