4 - Talent Show Registration

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    66th Annual New Jersey District ConventionWalk the Boardwalk of Service

    Talent ShowRegistration Form

    Name: ___________________________ School: ________________________

    Division: _________ Delegate (Y/N): _________

    In the lines provided below, please provide a brief (2-3 sentences) description of your act. Also, please be sure to

    include an estimate of how long you believe your act will be, whether you will be providing a CD, iPod, etc for

    your music, and any props you plan on using.

    _________________________________________________________________________________________

    _________________________________________________________________________________________

    _________________________________________________________________________________________

    _________________________________________________________________________________________

    _________________________________________________________________________________________

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    Please refer to the talent show flyer included in the DCON registration mailing and the DCON website for

    specific information and rules regarding the talent show.

    You may e-mail this form to Lieutenant Governor Division 9/Talent Show Chairperson Vani Ranganath at

    [email protected] or mail it to the following address:

    Vani Ranganath

    86 Richmond Court South

    Holmdel, NJ 07733

    ATTN: Talent Show Registration Form

    New Jersey District Convention 2012

    Walk the Boardwalk of Service

    DCON Talent Show