Highland School Talent Show Reg. Form 2016 · Highland School Talent Show Friday, January 29 , 2016...

Calling all Highland Stars….Come show off your stuff at the Highland School Talent Show

Friday, January 29, 2016 7:00pm, Highland School Gym                                      DRESS Rehearsal Date: Thursday, January 28, 2016 (6:30pm)

Important Information: ê Please bring all music on CD (labeled) and necessary props to the dress rehearsal. All material will

be returned after the show. ê Song lyrics MUST be attached to the sign up form for any pre-recorded music being used for any

act. ê All participants must be dressed in the act’s attire for the dress rehearsal.

Dress content must be appropriate for a general audience. ê All acts should be no longer than 2 minutes. ê The show will be recorded for playback on MPTV. (Please be sure to read and sign the consent release below. ALL participants MUST have a form filled out and signed even if part of a group.)                                                                                  Any  questions,  please  contact  either  chairperson:                    Kerri  Schaefer                                                          Kristin  Dahl  

201-­‐230-­‐3972  or  kerrilynnschaefer@gmail.com                                      201-­‐988-­‐4692  or  kristin@kristin-­‐dahl.com  ------------------------------------------------------------------------------- To participate, fill out form below and hand it in to you child’s teacher no later than January 19, 2015.

Participant’s Name: __________________________ Grade: ____ Teacher: ___________________

Parent Name: ________________ Email: ___________________ Phone: __________________ ☐ This is a group act – please provide names (first and last) of ALL group participants and grade. Indicate only ONE adult contact per group.

Group Participants: ________________________________________________________________

_______________________________________________________________________________

Adult Contact Name: ______________ Phone: ____________ Email: _________________________

Talent/Act Title (time limit MAX 2 minutes): __________________________________________

Talent Type (dance, sing, piano, etc.): _____________ Special Equipment/Props: _________________

Image capture and consent release: By signing below, you are certifying that the image, likeness, name and/or the audio of your child named above may be captured on film from the talent show and/or broadcast on MPTV. Parent Signature: ________________________________________ Date: ______________________

Sponsored  by  the  MPEPTA