CHELMSFORD STARS COME 4TH
MAY 20, 2010
Winner will sing the National Anthem at the opening of the 4
th
of July Parade!
CASH PRIZES WILL BE AWARDED
Talent Search Application
Please print or type all information:
Last Name: _________________First Name: __________________ Ml: __
Street Address: _______________________________________________
City: _______________________________ State: ______ Zip: _________
Telephone: _________________ Cell Phone: _______________________
Email Address: ________________________________________________
Emergency Contact Name/Phone:
____________________________________________________________
[Please check one] Elementary Middle School High School Other
[Please check one] Individual Singing Act
Group Singing Act [All group applications must be stapled and submitted together]
Song Selection________________________________________________
Attached to this application are the rules governing this competition. Read these
rules and agree to abide by them by signing below. By your signature, you agree
that you understand that failure to abide by the rules governing this competition
can and will eliminate you from the contest. Please retain the attached rules for
your reference.
Parent/Guardian Signature: _____________________________________
Participant Signature: __________________________________________
Return by April 23, 2010
Town Offices, 50 Billerica Road, Chelmsford, MA 01824
Attention: Town Manager’s Office
IMPORTANT: If applicant is under 18 years old, parent must fill out and sign release on reverse side
RELEASE FORM
I hereby give my permission to allow my child’s name and photograph
to be placed in the program book for the CHELMSFORD STARS
COME 4TH talent search contest. I further agree to allow my child to
be photographed and/or videotaped at the show and that such
photographs and/or videotape may be broadcast or published by