Chaska’s Got Talent Entry Form

Saturday, July 30, 2016     1:00  pm
Main Stage on Walnut St        Chaska City Square Park

Name___________________________________________________________
Address: _________________________________________________________
Email:__________________________________  Phone: _________________
CHECK ONE:
_______ Pre-Teen (Age 12 & Under)
_______ Teen (Age 13 to 19)
_______  Adult ( 20 and older)
FEE: No charge
List Members of Group (Continue on back if more room is needed)

Name                                             Age      Address                                                  Phone Number
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

DESCRIBE TALENT:
__________________________________________________________________
__________________________________________________________________
Please limit acts to approximately 4 minutes

I hereby acknowledge that I have read the information as stated and agree to abide by the
entry rules and that the personal data set forth is correct.

Signature of Contestant or Group Leader: ___________________________________

Return Entry Form by July 16, 2016

NOTE:  We will accept same day registration if space is available.

Chaska RCD Talent Contest
PO BOX 145
Chaska MN, 55318