The Middle New Hampshire Arts and Entertainment Center
Ninth Annual Community Talent Night
Saturday, March 27, 2010 7:30 p.m.
Performer Registration Form
Team Name
Contact Name
*
Address
City
State
Zip
Email
*
Home Phone
*
Cell Phone
Age Range of Performers
7 - 10 years old
11 -14 years old
15 - 18 years old
19 - 21 years old
22 - 25 years old
25 plus years old
Which day do you prefer to audition?
Monday, March 22
Tuesday, March 23
Type of Act
Music
Poetry
Magic
Comedy
Theatre
Other (please specify)
Please Specify
What will you perform at Talent Night (please be specific)?
What equipment do you require?
Microphone
Amplifier
Direct Input
Monitor
Chair
Stool
Table
Music Stand
Piano
CD Player
Other (please specify)
Please Specify
Do you require background music for your vocals?
Yes
No
Please include a brief biography of performer or group
Name of person filling out this form
Date