Genesee County Fair Talent Show
Saturday, July 29, 2:00pm
5056 E Main Street Rd, Batavia, NY 14020

Register by July 22nd to be guaranteed a small prize bag!
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Name of Performer (s): *
Number of members in group:  Each person may participate up to three times per age group- in a solo, duet and group. You may not participate in the same category in the same age group more than once. *
Performance Category (Eg: Vocal solo, acro dance, comedy, band): *
Age Group:  (for groups, select the age group that applies to most of the members) *
Phone number:  (for minors, include an adults name and phone number) *
Email address (for groups, you may put just 1 email or more) (for minors, please put the email address of an adult):
Is there anything your group needs provided?   We may not be able to accommodate all requests but we will let you know either way.
Type your name below for the photo release.  Photos may be used by the local paper and/or the fair for future promotions.

I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording.
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