Talent Contest Registration - Salt Lake County 4-H

*Name

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Age Division

Cloverbud (grades K-2)
Intermediate (grades 6-8)
Junior (grades 3-5)
Senior (grades 9-12)

Individual or Team Performance

Individual
Team

Team Members

If applicable,

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*Performing Talent

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*Title of Performing Piece

(Include the composer, choreographer, or author if applicable.)

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Accompanist

If applicable

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Equipment Needed

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*Address

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*City

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*State

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*Zip Code

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*Name of parent/guardian

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*Home Phone

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Cell Phone

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Email Address

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Please list any restrictions/allergies/special arrangements that you may have or need:

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