WIKQ Youth Talent

Official Entry Form

Name of Act(Required)

First Last

Description of Act(Required)

Type of Accompaniment(Required)

Equipment Needs (mics, stands, long cord, etc.(Required)

Information on each member of the act must be included. If you need more space, please use the box below.

Name(Required)

First Last

Phone(Required)

Age(Required)

Birth Date(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name

First Last

Phone

Age

Birth Date

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name

First Last

Phone

Age

Birth Date

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name

First Last

Phone

Age

Birth Date

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Extra Space for Members of Act

Brief Biographical Sketch of contestant(s) (i.e. school, background, hobbies, interest, parents' name, etc.) If act contains more than one person, list information on each person on back of form. If act is a group, list background of group.(Required)

I (we) have read the rules governing the Tennessee Valley Fair Youth Talent Contest and agree to abide by them.

Signature of Contestant or Leader of Act(Required)

Name

This field is for validation purposes and should be left unchanged.