Youth X Factor Entry Form

TALENT COMPETITION SUBMISSION FORM

Youth X FACTOR Wiley Park Amphitheatre Saturday 4 April 2009

PERFORMANCE INFORMATION Name of Organisation/Group: Type of Performance: (music/dance etc) Ages of members in performance CONTACT DETAILS Performer Name (MAIN CONTACT) Address:

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Phone: Fax: Mobile:

Email: Performer Name Address:

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Phone: Fax: Mobile:

Performer Name Address:

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Phone: Fax: Mobile:

Performer Name Address:

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Phone: Fax: Mobile:

Please add any additional band members separately Indicate AuditionPlease Day and Date: Thurs 26 March Mon 30 March preferred 10 minute3.30-5.30pm time slot 3.30-5.30pm (Please circle)

Tues 31 March 3.30-5.30pm

Please note: Auditions will be held at the Belmore Youth Resource Centre Building 3, 38 Redman Parade, Belmore 2192

Please complete all details and sign both the Submission Form and performer technical requirements form, and return by March 18 2009 to: 1

Joanne Morrison Belmore Youth Resource Centre Building 3, 38 Redman Pde BELMORE NSW 2192 Email:[email protected]

Youth Development Officer Tel: 9718 9848 Fax: 9718 9621

Signature: Print Name:

Date:

PERFORMER TECHNICAL REQUIREMENTS 2

Name of Organisation/Group: Venue: Brief Description of performance: Please indicate with a tick Indicate No. of item/s required

Wiley Park Amphitheatre

Cassette

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CD

Microphones

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Microphone

D.I’s

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Chairs

If your group is a band please indicate what type of musicians your band consists of and mark in the box below the position for each musician and microphone. If you require more space you may attach an additional page. OKING

Legend ● Microphone

Please draw a description of your performance set-up in relation to this stage

Stage

(Please No.)

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DI Box (Please No.)

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Chair (Please No.)

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Dance Area required

▓ Stage Equipment (please name) Audience Please ensure you attach to this form: ○ A brief biography of your organisation / group unless available on MySpace Return to: Joanne Morrison

Belmore Youth Resource Centre Building 3, 38 Redman Pde BELMORE NSW 2192

Youth Development Officer

Tel: 9718 9848 Fax: 9718 9621 Email: [email protected]

Signature: Print name:

Date:

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