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