*Sound system will be available. You are responsible for your own dubbed music.

*Please Print this form and mail it to:

Scott County Arts Council
P.O. Box 51
Scott City, KS 67871

ENTRY FORM

Name ______________________________________________________________________________

Address ______________________________________________________________________________

Phone # ______________________________________________________________________________

Email ________________________________________________________________________________

Class Year ____________________________________________________________________________

Talent _______________________________________________________________________________

Electronic needs _______________________________________________________________________

Members in act ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Official use only: Date Entry Received ______________________________________________________