Complete and return to:  Izard County Fair Youth Talent Contest, P.O. Box 208,
Melbourne, AR 72556 by Monday, September 17, 2007.

 Please check Category:         

                        Vocal Solo _____               Vocal Group _____                Dance Solo _____                  
                        Dance Group _____            Instrumental Solo _____        Variety _______

Name of Individual or Group:________________________________________________

Title of Music Selection:___________________________________________________ 

Name of Contestant(s): Age: _____      Telephone#:    ___        Mailing Address:________

1.)___________________________________________________________________________________ 

2.)___________________________________________________________________________________

3.)___________________________________________________________________________________

4.)___________________________________________________________________________________

5.)___________________________________________________________________________________

6.)___________________________________________________________________________________
(List additional contestants on the back)

Please give us some information about your talent experience...
(how long you have been singing, when did you join a dance group, are you involved in a school band, etc.)

___________________________________________________________________________________

___________________________________________________________________________________

Parent/Guardian Signature__________________________________________________________________