CARIBOO FESTIVAL SOCIETY ENTRY FORM

CARIBOO FESTIVAL SOCIETY ENTRY FORM = Class # __________ &= nbsp; Adjudi= cation Only

= &nb= sp; = &nb= sp; = <= /o:p>

Entry deadline: Monday <= /b>February&nb= sp; 15, 2010 &nbs= p; &= nbsp; &nbs= p; = Class Name ______________________________

Mail to / Drop off at:   Sheryl-Lewis 2020 N. M= ackenzie Ave = Williams Lake, B.C. V2G 1P3<= span style=3D'mso-spacerun:yes'>

One entry form is required for each entry. Out of town entries, please advise i= f         &= nbsp; Amount of Payment= __________ SHAPE \* MERGEFORMAT <= span style=3D'font-size:9.0pt;font-family:"BakerSignet BT","sans-serif";mso-bidi= -font-family: Arial'> Cash   <= span style=3D'font-size:9.0pt;font-family:"BakerSignet BT","sans-serif";mso-bidi= -font-family: Arial'>Cheque <= o:p>

special consideration is required with scheduling. (If possible please provide a separate cheque     &nb= sp;             =             &nb= sp;  (Cheque payable to: Cariboo Festival Society)

for each discipline i.e. Speech Arts, Creative Writing.)

Discipline:<= /b>    <= span style=3D'font-family:"BakerSignet BT","sans-serif"'>  Speech Arts   (Provide a typed copy of se= lection and send with entry form.)

     <= span style=3D'font-family:"BakerSignet BT","sans-serif"'> Creative Writing (Attach manuscript to entry form. A workshop will be provided for entrants in Creative Writing. Out of town ent= ries will be

        &= nbsp;           &nbs= p;            &= nbsp;    returned if a stamped self-addressed envelope is included with the entry form.)=

Entran= ts Information

_____= ___________________&= shy;_________________________/___/_____________________

Name – ( Nam= e of Group and # in Group )  &nb= sp; School attended       Scho= ol Grade     Date = of Birth(D / M / Y)   Age as of Dec. 31/ 08<= span style=3D'font-size:11.0pt;font-family:"BakerSignet BT","sans-serif";mso-bid= i-font-family: Arial'>

  &nb= sp;            =             &nb= sp;            =             &nb= sp;                   =                             =     (under 19 only except voice)=

_______________________________________________= ________________________________________

Performer’s names and School Grade (Speech Arts only)  &nb= sp;               =

_____= ___________________________________________________________________________= _______________

Date = of Birth (Day / Month / Year)<= /p>
____________________________________________________________________= ___________________________

Age as of Dec. 31/ 08

Title of Selection (Speech Arts only)  &nb= sp;           Author      &nb= sp;               &= nbsp;           &nbs= p;   Performance Time

1. ____________________________________________= ________________________________________

2. ____________________________________________= ________________________________________

Teacher’s Name and Phone (if applicable) _______________________________________________________

Contact Information

Contact Name _________________________= _____________ Contact phone 250 ____________________________

Contact Address: ______________________________= ____________________________________________________

Email address: (please print) _________________= __________________________________________________________

I have read, and agree to the terms and conditions outlined in the Syllabus.<= o:p>

The Syllabus is available at The Open Book&nbs= p; and online at www.CaribooFestivalSociety.com

____________________________________=

Entrant’s, Teacher’s or Parent̵= 7;s Signature

I give permission for the Cariboo Festival to t= ake pictures of my child for Festival purposes. __________________________________= _____ ( Parent / Guardian signature)

Late entries may be hand delivered to Sheryl-Ly= nn Lewis no later than Feb - - - . Sorry, no exceptions. Late entries are subject to double= the entry fee. =

Performance dates and times will= be available in the program 1 week before festival. Program will be made available at = The Open Book and at performance venues.

( Speech Arts only -PLEASE COMPLETE THE COMPETITOR’S CARD WITH NAME, CLASS NUMBER, AND TITLE OF SELECTION)

_______________________________________________= _____________________________________________________

COMPETITOR’S CARD=

NAME ___________________________________________________________________________= ___

CLASS ____________ ENTRY NUMBER _____________ TITLE ______________________________= ____________________

CLASS TIME _________________________________ DATE _____________________________= ______________________

LOCATION ________________________________________= __________________________________________________