Youth Talent Contest

AGES 13-21

Thank you for your interest in a 2017 Jefferson County Fair event.
Once you have completed the form, scroll to the bottom of the page to submit it.

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First Name:*

Last Name:*

Complete Address (Street or Box #, City, State and Zip):*

Email:*

Age (as of 13 August 2017)*

Phone Number:*

Description of Act:*

Parent (s)/Guardian if under age 18:

Information on each additional member of the act must be included.
Include Name, Age, Complete Address and Phone Number

Additional Member of Act:

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I (we) have read the rules governing the contest rules for the contest I (we) are entering and agree to abide by them.

Signature of Contestant or Leader of Act (online submission constitutes signature)

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