2011 Amateur Talent Contest Entry Form

Entry form must be fully completed for eligibility

Name:_____________________________________________________________


Address:__________________________________________________________


E-mail:_______________________________ Phone Number:_______________


Talent:________________________________ Group 1:_____ or Group 2:_____
                                                                                       (12 and Under)            (13 to 25)

Fax entries to (613)445-8626

or mail to:
Russell Fair Amateur Talent Contest
Attention: Jennifer Armstrong / Michelle Cochrane
Russell Fair
P.O. Box 730
Russell ON  K4R 1E8

Entries must be received no later than Sunday, August 28, 2011