
Little Kicker Talent Contest Application!!!
Location:
Thief
River Falls Eagles Club on May 4th, 2008 at 2pm.
The contest
winners will perform on the Kick'n Up
Kountry stage on the afternoon of Friday, Aug. 29th.
Name of
Applicant:____________________________
Address: ____________________________________
City, State, Zip: _______________________________
Phone: ( ) _ _ _ _ _ _ _
Email: _______________________________________
Describe the
entertainment you will be doing:
_______________________________________________.
[ ]YES!
Count me in Ardell!! I want to participate in the "Little Kicker
Talent
Contest in the age
category checked off below:
[ ] Preschool to 8 years old
[ ] age 9 to 13
[ ] age 14 to 18
This is an amateur competition. You are considered an amateur if you are not under a recording contract.
All children must be accompanied by a parent or guardian and a parent’s signature is required on this application.
Kick’n Up Kountry, Inc. is not responsible for any injuries or problems occurring during the contests.
Signed: _______________________________ Date:_____________________
Relationship to applicant: _________________________________________
Parent/Guardian: Print out this application, sign, and mail to: Kick'n Up Kountry, Inc., 249 S State Ave, Lake Bronson,
MN 56734.
218-754-2861
www.kicknupkountry.com
If you prefer
to have an application mailed to you , please call the office @ 218-754-2861
Note: Applications accepted until April 15th deadline. Thank You!