Heart of Kentucky

Talent Search

OFFICIAL ENTRY FORM

Please complete the ENTIRE form. PLEASE PRINT

Full Name:___________________________________________________

Address: _____________________________________________________

City:_____________________ State:___________ Zip Code:________

Phone Number:________________________________________________

E-Mail:_______________________________________________________

Division (check one)

Junior-Age 12 and under____Teen-Age 13 to 19____Adult-20 and older____

Song Choice #1_____________________________________________

Accompaniment for Song Choice #1 (check one):

Heart of Kentucky Band ____Vocal only____

Song Choice #2_____________________________________________

Accompaniment for Song Choice #2 (check one):

Heart of Kentucky Band ____Vocal only ____

Entry Fee: $20.00 Make checks or money orders to Music Man Sound Stage

NO credit cards

Mail to:

MUSIC MAN

c/o Heart of Kentucky Talent Search

P.O. Box 303

Springfield KY 40069

859-336-9839