Camden County 4-H’s Next Big Thing Talent Show *Name:______________________________________________________________________ *Address:____________________________________________________________________ *City: ___________________________________State: ___________Zip Code:____________ *Home Phone: (_____ ) _____________________Cell phone: (____ )____________________ *Parent’s Names: ____________________________E‐mail:____________________________ Type of Talent (ie sing, dancing)___________________________________________________ Name of Song__________________________________________________________________ *Required fields – must be filled out. Category (please check one): o Group (if in a group each person must fill out form, but only one entry fee is due) o Individual I acknowledge that I have read the entry rules attached and agree to abide by them. Signature of Contestant *__________________________________ Date _______________________ Parent/Guardian Signature (if under 18) *__________________________________ Date _______________________ Mail entry form and $20 entry fees (check or money order made out to Camden County 4-H Association) to: Camden County 4-H 1301 Park Blvd. Cherry Hill, NJ 08002 Questions can be emailed to [email protected] or call 856-216-7130 ext 0. Awards in Group and Individual Categories: 1st place: Trophy and 50% of category entry fees 2nd place: Trophy and 25% of category entry fees 3rd place: Trophy and 10% of category entry fees RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF THE RISK AND INDEMNITY AGREEMENT AND CONSENT TO MEDICAL TREATMENT Minor’s Form for Youth Participation By our signatures below, we acknowledge that we are aware of, appreciate the character of, and voluntarily assume the risks involved in participating in Camden County 4-H’s Next Big Thing Talent Show. 1. Waive any claim or cause of action against and release from liability Camden County 4-H, Camden County Board of Freeholders, and Miller Farms, its officers, employees, and agents for any liability for injuries to person or property resulting from participation in the activity listed above; 2. Agree to indemnify and hold harmless Camden County 4-H, Camden County Board of Freeholders, and Miller Farms, its officers, employees, and agents for any claims, causes of action, or liability to any other person arising from participation in the activity listed above. 3. Consent to receive any medical treatment deemed advisable during participation in the activity listed above; and 4. Acknowledge that we are signing below as a minor child and as the parent or legal guardian of the minor child named below. 5. Agree to allow Camden County 4-H to use photographs and likenesses taken during the performance in promotional materials. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF THE RISK AND INDEMNITY AGREEMENT AND CONSENT TO MEDICAL TREATMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Minor’s Name: _________________________Signature_______________________________ Address:______________________________________________________________________ Parent/Guardian’s Name (if under 18):______________________________________________ Signature:________________________________________________Date_________________ Camden County 4-H’s Next Big Thing Talent Show Official Rules and Information 1. Camden County 4-H’s Next Big Thing Talent Show is open to all AMATEUR entertainers between the ages of 5 and 18. Professional (musician or performers whose principle source of income) are not permitted to enter. Membership in 4-H is not required. 2. Acts may be any type of talent, musical instrument, song, dance, magic, etc. Winning acts will be selected for group acts and individual acts. 3. Entry forms need to be received no later than Monday, July 30, 2012. All entries received after this date will be ineligible. Act timeslots will be filled once entry form is received. 4. The time and date of Camden County’s Next Big Thing Talent Show is Saturday, August 4, 2012 at 5:00 pm. Your time slot will be assigned to you, and you will be informed of it once you arrive at the show. 5. All contestants must arrive at the show by 4:30 pm. 6. Contestants may participate in both the group and individual categories, but must pay said entry fees for each category. 7. Vocalists may use LIVE OR TAPED MUSIC WITH NO VOCAL BACKUP. All contestants are required to use the sound system provided at the show. 8. All acts will have no more than 5 minutes to perform. The judges will maintain timings for all of the acts. Acts that violate this time limit will be disqualified. 9. This is a family talent show. The judges and Talent Show organizer reserves the right to disqualify any act that does not display appropriate material. 10. Camden County 4-H’s Next Big Thing Talent Show will be held on the Camden County Showmobile (portable stage). There are no changing facilities at the show. 11. All decisions of the judges are final. The 4-H Youth Development Program is part of Rutgers Cooperative Extension. 4-H educational programs are offered to all youth, grades K-13, on an age appropriate basis, without regard to race, religion, color, national origin, gender, sexual orientation, or disability. For additional information, contact: 856-216-7130 or www.nj4h.rutgers.edu. CAMDEN COUNTY 4-H’S NEXT BIG THING TALENT SCORE SHEET Participant Judge’s Initials _______________________________ __________ _______________________________ _______________________________ Type of Talent Presentation ________________________________________ Potential Score Stage Presence & Professionalism – Overall confidence, poise, and ability to communicate with the audience. 25 Technical Ability – Voice quality, pitch, projection, use of instruments or props. 25 Appearance/Costume 15 Difficulty of Selection or Act 15 Creativity 10 Appropriateness for audience 10 TOTAL 100 Judge’s Score Comments
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