Contestant Entry Form

“Paeroa’s Got Talent” Competition

Entry Form

Name………………………………………………….………...        Age………..

Address……………………………………………………………………………………………..

Home phone……………………………………….    Mobile………………………………

Tick which section you wish to enter:

• Write and perform an original composition
• “Tweens” Open Section (10-13 yr olds)
• “Teens” Open Section (14-18yr olds)
• Adults “Have Beens” Open Section
• “Pure Talent” - open to any performance medium

Any special requirements to assist your performance?? ………………………………………………………………………………………………...…………………………………………………………………………………………
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Registrations close on Monday May 9th at 5pm. Competition date: Sunday 15th May, Paeroa Memorial Hall.
Please print off this entry form and post it to: Positive Paeroa, PO Box 164, Paeroa

You will be notified on Wednesday 11th your performance time. All enquiries to Positive Paeroa 07 862 6999