The Voice of Hampstead
Please Register by June 1, 2017
Do you have a voice that makes people want to stop and listen? or get up and dance?
If you do, we invite Hampstead residents 17 and under to participate in
The Voice of Hampstead
Saturday, June 24, 2017
To participate please fill out the form below and plan on participating in our dress rehearsal on Tuesday, June 6 at 6:00 p.m. in the Civic Club Building. At the dress rehearsal, participants are expected to sing a portion of their performance song and provide a copy of their music track on a CD or flash drive to Hampstead Cable Television.
Your performance will be recorded and rebroadcast on Channel 17 so parent/guardian permission is required.
Name:________________________________________________________________________________________Age (as of 6/1/17)_____________________
Mobile Telephone Number Parent: _________________________________________________________________
Mobile Telephone Number Student: _______________________________________________________________
Number of Participants (Two maximum) ___ (1) ____(2)
Description of Act
In Case of an Emergency Contact: ____________________________________________________________________________
Name of Parent or 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 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 or Gaurdian: __________________________________________________________________ Date: _______________________
Please mail to: Hampstead Civic Club
PO Box 442
Hampstead, NH 03841
Or drop off at:
Hampstead Town Hall
Or Drop off at:
Hampstead Public Library