Talent Show

Superintendent Ellie Mason
ellie.mason@gmail.com

After you hit submit on the form, it will show you the address to mail your payment to.

Name: *
Age *
Date of Birth *
Address
Phone # *
E-Mail *
Payment Information: $5.00 Entry Fee: *	Check Cash
Best time to contact
Briefly describe your entry. *
Type of accompaniment *	CD DVD MP3 Piano Guitar Other None
Equipment needed *	CD player DVD player Hands free mic Other None
If you are under 18, do you have your parent's consent? *	Yes No
I agree to indemnify, hold harmless and defend the Deltana Fair Association, its individual members and Directors against any and all claims arising out of or resulting from my participation in the Deltana Fair’s Got Talent Contest. *	Yes No
By submitting this form I am agreeing to the Hold Harmless Agreement. In addition, I hereby certify that I have read and agree to follow the contest rules and respect the judges’ rulings. *	Yes No