THANK YOU TO OUR SPONSOR
Hampstead’s Got Musical Talent
Deadline to apply June 1, 2019
Brought to you By Hampstead Cable Television, The Greater Hampstead Civic Club and Pentucket Bank
Do you have a voice that makes people want to stop and listen? Are you great at playing a musical instrument? If you do, and you are a Hampstead resident* ages 17 and under, we invite you to participate in Hampstead’s
Got Musical Talent.
Saturday, June 29, 2019
To participate please fill out the form below and plan on participating in our dress rehearsal, on Thursday, June 6, 2019, at 6:00PM in the Civic Club Building. At the dress rehearsal, participants are expected to sing a portion of their performance song. They are also required to provide a copy of their music track on a CD or flash drive. Musician’s are also expected to provide a sampling of their music.
Prizes will be awarded based on age groups 5-10 years old, 11-14 years old and 15-17
Your performance will be recorded and rebroadcast on Channel 17, so parent/guardian permission is required.
CONTESTANT INFORMATION **
Age(s) as of 6/1/19 _____________, __________, __________, ___________
Parent Mobile Number: __________________________________
Student Mobile Telephone Number (if applicable) : _________________________
Email address: _________________________________________________________________________________________
Home address: _________________________________________________________________________________________
Act Info: Song name: _______________________ Number of participants ______________ Name of group _______________
Description of Act: ______________________________________
Music Needed: __________________________________________ or
Instruments being played:_____________________________________________________________________________
Number of Microphones needed: _____________________________________________________________________
In case of an Emergency Contact: _____________________________________________________
Name of Parent/Guardian ________________________________________ Relationship ___________________________
Mobile telephone number: ______________________________
By signing this form, I allow my child to participate in this town event and ensure that I have reviewed and approved their act and will sign below on their behalf. I understand that Hampstead Cable Television and Hampstead Civic Club reserve the right to cut my child’s act if considered inappropriate. I also authorize Hampstead Cable Television and the Greater Hampstead Civic Club to use pictures/video recording of their performance to rebroadcast on Channel 17 and post on their websites and/or social media outlets.
Signature of parent/guardian:_____________________________________________ Date: ______________________
MAIL TO: Hampstead Civic Club, PO Box 442, Hampstead, NH 03841
or Email to: HampsteadCivicClub@gmail.com
*At least one member of the group performing must be a Hampstead resident.
** One application must be filled out PER member of the musical group
Hampstead Civic Club and Hampstead Cable Television reserve the right to accept or deny applications at their sole discretion.
NOT SPONSORED OR ENDORSED BY THE HAMPSTEAD SCHOOL DISTRICT, THE HAMPSTEAD SCHOOL BOARD OR THE SUPERINTENDENT