Connellsville’s Got Talent Entry Form
Deadline Entry 1/16/2016
Name _________________________________________________________________
Address______________________________________________________________________________
______________________________________________
City______________________State_____________________Zip____________
Phone________________________ Date of Birth__________________________
Email_____________________________________________________________
(Please print clearly)
Signature or Parent/Guardian Signature___________________________________________
Prizes as follows:
1st Prize $300.00
2nd Prize $150.00
3rd Prize $ 100.00
Audience Choice $50.00
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We are looking for all variety of Acts that are entertaining to be performed at the Edwin S. Porter Theatre on January 23, 2016 at 6 pm. Please report to the theatre at 3 pm.
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Contestants of all ages are eligible to enter. Parent/Guardian must be present with contestants under the age of 18. Parent/Guardian must provide his/her signature on the registration
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A $10.00 registration fee and CD must accompany your registration to reserve your place
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Music submission must be labeled with the contestant’s full name / address / phone number and the name of the selection performed. All music must be turned in to the Theatre by 1/16/2016.
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Instruments, CD’s and Props must be provided by entrant
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Acts may be up to 4 minutes in length with a maximum of 5 minutes.
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All performances must be in good taste. Lyrics or subject matter deemed inappropriate to a family-style audience will disqualify the participant.
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No acts using Knives, Machetes, fire, etc. will not be accepted
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There will be a panel of Judges and their decision will be final.
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Winners will be announced at the end of the program
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Contestants will be judged on Professionalism, Technical Ability, Appearance/Costume, Creativity, Audience Appropriateness, and People’s Choice Vote.
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Winner will be asked to return to Perform their act to open the show for our feature performer, Buddy & Jerry Lee... A LIVE On-stage tribute, on 2/13/2016 at The Edwin S. Porter Theater
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I give permission for myself/my child to be photographed and interviewed and
permission to have my /my child’s name and picture used in local media and social media
Signature/Parent or Guardian Signature__________________________________
Registration Fee may be paid in cash or check.
Checks should be made payable to :
The Edwin S. Porter Theatre Association
You can send in your registration or deliver it in person to:
The Greater Connellsville Area Community Center
201 East Fairview Avenue
Connellsville, Pa. 15425
You may call 724-626-0300 or
724-812-2303 for more info