Crapaud Exhibition

Crapaud Exhibition Youth Talent Search 2017 Entry Form

Check Category: Age 6 – 11 years old _________

Age 12 – 17 years old _________

Age 18 – 22 years old _________

Check Discipline: Vocal _________

Instrumental _________

Dance _________

Contact numbers: Home ________________________

Cell (if possible_________________

Please note: First, second and third prize will be awarded in each age group. All disciplines will be judged together in each age group. Past winners are welcome to enter .

Name:_________________________________________________________________

Age:________________________________________________________________

Address:_______________________________________________________________

__________________________________________________________________

School/Grade completed:______________________________________________________________

Hobbies/Interest/Talents:_______________________________________________________________

Music: ___________________________________________________________________

Name of Song: _____________________________________________________________________

Accompaniment: __________________________________________________________________

Instrument being played: _______________________________________________________

Any special recognition:__________________________________________________________