Kansas Summer Festival Talent Show
                                Entry Form

  Contestant Name(s):  ___________________________________________________

 Address:  ____________________________________________________________

 Phone:  ______________________________________________________________

 Age & birthdate:  _______________________________________________________

 In/Out of Town (refer to rules):  ____________________________________________

 Type of Routine (act, dance, sing, etc.):  _____________________________________

 Title of Music/Act:  ______________________________________________________

 Music is on: (circle one)          CD                Cassette

 Entry: (circle one)
  •       Solo (1 person)       $5
  •       Duet (2 people)       $5 per person
  •       Trio (3 people)        $5 per person
  •       Group                      $10

 Please list any and all props that will be used.

 ____________________________________________________________________

 How long have you been doing this talent? __________________________________  

 Please Note:

 All contestants must be at the Kansas Park 1 hour before the talent show starts.  This is  
 to get all music turned in, papers filled out, set up, and warm up.  The judge's decisions
 are final.  Any questions please call Jenni Ellington at 948-5966 or 232-5961.  The talent
 show is Saturday July 10, 2009 at 5:30 p.m.  Prizes 1st - $50        2nd - $25        3rd - $15