Demographic Information

First Name *

Last Name *

Cell Phone Number *

NWOSU Email Address *

Phonetic Spelling of Name as to be Announced *

Talent (Vocal, Dance, Monologue, Piano, etc.) *

Fill in this portion in regards to your talent.

Title of Song or Musical Background *

Composer

Publisher

Time of Talent (NOT to exceed 90 seconds) *

Accompaniment for Talent Act * Custom recorded CD A commercial CD MP3 file No media needed

If your song is of the original commercial sound track, please give the album title.

Performer's name on label

Does your recorded selection require special setup for theatre staff? Please explain. *

If using a microphone, which do you prefer? Microphone on mic stand Hold microphone in hand

If playing an instrument, specify the instrument and if it needs sound support.

Do you want to use a spotlight for your talent? * Yes No

If your talent will be a dramatic reading, comedy, monologue, etc., give the author's name and the name of the book, play, or writing you will use.

List props you will BRING to use in your talent act (be specific). *

List props you need PROVIDED to use in your act (stool, chair, etc.). *

Give a complete description of your talent act (be specific). *

What will you wear for your talent performance? * Costume Gown

Interview Outfit *

Talent Competition *

Evening Gown Competition *

I will sing or speak during my talent presentation. * Yes No

There is singing or speaking on the tape that will accompany my talent presentation. Yes No

Suggested Talent Introduction (Be specific on exactly how you'd like your talent to be introduced during the competition.) *

I agree that my talent will not have any dangerous aspects to it (open flame, smoke, etc.). * Yes, I agree.