Dancing Stars
Official Entry Form
I, (BELOW SIGNED) HEREBY AGREE TO PARTICIPATE IN THE DANCING STARS CONTEST IN CONSIDERATION OF THE JUDGES PERMITTING ME TO PARTICIPATE. For this I will pay a fee of $35 solo and $50.00 groups which will include one admission to the Delta Fair. Participants with multiple entries will receive only one admission to the fair. 1. To fully comply with all instructions given by Delta Fair / Expo South representatives and the rules of the contest, particularly (but not limited to) rules concerning age requirements, Dancing Stars Contest guidelines, 2. To release the sponsors, its licensees its corporate licensees, its parent, corporations, their affiliated entities and their respective officers, directors, shareholders, agents, employees, and representatives from any and all claims, demands, causes, or action, losses, expenses, costs and liabilities of any nature whatsoever which may arise out of or in connection with my participation in the audition process. 3. To grant the Stations and its licensees the right to use my name, likeness, recorded video, and biographical material in order to advertise, promote, and publicize the Stations, the audition, the contest, the outcome of the audition or any advertisers, co-sponsors associated with the audition process. Dancing Stars Contest, Expo South, & Delta Fair, Inc. by the signature below, are hereby held harmless from all damages, injuries, losses, judgments, and claims, both known and unknown, which may be incurred to persons, property, whether immediately reported or not, as a result of participation in this contest. I assume full responsibility for this exposure. Your signature on the registration form acknowledges that you have read and will adhere to all the rules in the registration packet. Checks made out to “Delta Agribusiness” Mail or Fax this form and group form (duet,trio,etc.) before Friday, September 3, 2021 @ 4:00 p.m. toDelta Fair & Music Festival Attn. Dancing Stars Contest 700 Belle Watley Ln, Collierville, TN, 38017Call (901)212-3018 or email maryann@mac-entertainment.com if you have questions. Entries received after 4:00 pm on Friday, September 3, 2021 will be $50.00 for solo and $75.00 for group. Cash only if registering at the door. Registration at the door, as space permits.
Name of Contestant
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number of parent or guardian
Please enter a valid phone number.
Phone Number of contestant if applicable
Please enter a valid phone number.
Age as of September 11, 2021
*
Solo/Group
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Solo
Group
Dance Teacher Name
*
Studio Name
*
Studio Phone Number
*
Solo Act
Name of Act
*
Type of Act (Jazz, Tap, Ballet, Hip-Hop etc.)
*
Participant Signature
Group Act
Name of Act
Type of Act (Jazz, Tap, Ballet, Hip-Hop etc.)
Name of Contestant, Age, Phone & email
Participant Signature
Payment
*
I will pay by credit card
I will print this form and mail check to 700 Belle Watley, Collierville, TN 38017
Name on Credit Card
Credit Card Number
Credit Card Expiration Date
Credit Card Signature
Parent/Guardian Signature
Submit
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