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| PRIMARY CONTACT INFO (ALL FIELDS REQUIRED) |
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| NAME (First, Last):
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| Home Phone (REQUIRED):
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| Cell Phone (REQUIRED):
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| Email (REQUIRED):
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| Name of Act (NOTE: This could be simply your name or a group name like "The Coalminers"):
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| Brief Description of Your Act (e.g., music vocal performance, dramatic reading, choral group, etc.):
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| How Many Performers in Your Act?:
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| Please list the names of all the performers, including yourself, as you want them listed in the program. (Please separate by commas):
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| I WILL NEED (Check all that apply)... |
Tom Gish Hall features state-of-the-art equipment. We will make every effort to accommodate your needs. Please complete the section below.
If you have special needs not listed, please complete the "Other Requests" section. We cannot guarantee that we will be able to provide you with special requests, but we will review the request and communicate with you as soon as possible.
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| Piano/Keyboard:
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| Accompanist (a copy of your sheet music MUST be submitted with entry form).:
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| CD player for accompaniment track (Performer MUST provide CD):
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| Microphone(s) (NOTE: Limit to 4 microphones):
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| How Many Microphones?:
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| None of the above (I only need a stage and an audience):
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| OTHER REQUESTS (please see note above):
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| Please specify if you will be part of the Talent Show Entertainment or the Pre-Show Dinner Entertainment:
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Talent Show Entertainment:
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| Pre-Show Dinner Entertainment:
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| ACKNOWLEDGMENT (REQUIRED) |
NOTE: ENTRIES SUBMITTED WITHOUT THIS SECTION BEING CHECKED WILL NOT BE CONSIDERED AS COMPLETED
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| I acknowledge and commit to attend the mandatory rehearsal on SUNDAY, FEBRUARY 19 BEGINNING AT 12:30p.m.:
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DEADLINE FOR ENTRY IS SUNDAY, FEBRUARY 12.
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