K-Days Talent Search Entry Form In Partnership with CTV Edmonton This entry form uses PayPal as its payment service. You will need a current PayPal account to complete your application. Deadline to apply is June 16 at 4 p.m. Step 1 of 5 20% Prior to applying, please read the rules & regulations. There are 5 sections to this online form, please fill out all required (*) fields. If you have any questions, please contact our K-Days Talent Search team: K-DaysTalentSearch@northlands.com 1. Contact InformationMain contact*(Must be 18 years of age or older.) First Name Last Name Main contact relationship to performer(s)*Address*(Must be residents of Alberta.) Street Address City Postal Code Phone*Cell PhoneEmail* Enter Email Confirm Email The main contact person agrees to represent the act and all members of the act on this entry form. An authorizing legal representative must sign on behalf of the act. If the performer(s) is/are under the age of 18, a parent/guardian/teacher must provide authorization. Northlands is not responsible for any loss, damage, injury or death that may occur, no matter how caused and regardless of negligence of the part of any person connected with the operation of this event. Northlands, its directors, officers, employees, administrators, successors and/or volunteers will be indemnified and held harmless by the authorized legal representatives of the performer(s) from and against all actions, claims, demands, damages, costs, or expenses by reason of or relating in any way to participation in K-Days Talent Search. Upon returning completed entry forms, the main contact person automatically grants permission to Northlands to photograph and video tape the act’s performance(s) and use the act’s and/or competitor(s) names for advertising, promotional and publicity purposes at its sole discretion without further consideration or compensation, regardless of the performer(s) future status as (a) performer(s).Please check all that apply I give permission to be added to Northlands email contact list for and to receive further information regarding K-Days Talent Search 2017. I give permission to be added to Northlands email contact list for and to receive further information about the future K-Days Talent Search. I give permission to be added to Northlands email contact list for and to receive further information regarding other Northlands events and promotions. 2. Age CategoryPlease select the Age Division*Note: The average age of multi-member acts determines what division category the act will perform in.Junior Division (5-12 years) - Performers must be 5 years of age by July 1, 2017 and not over 12 years by July 31, 2017Youth Division (13-21 years) - Performers must be 13 years of age by July 1, 2017 and not over 21 years by July 31, 2017Adult Division (22 years & up) 3. Solo/Group PerformersPlease submit only one Solo or one Group entry per registration.Type of Performer?*SoloGroupSolo Performer* First Name Last Name Soloist Date of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Group Name*Junior Performer Details*Please enter the details of all performers in your group. The maximum number is nine (9). To add another Performer select the symbol.First NameLast NameDate of Birth (dd/mm/yy) Youth Performer DetailsPlease enter the details of all performers in your group. The maximum number is eight (8). To add another Performer select the symbol.First NameLast NameDate of Birth (dd/mm/yy) Adult Performer DetailsPlease enter the details of all performers in your group. The maximum number is six (6). To add another Performer select the symbol.First NameLast NameDate of Birth (dd/mm/yy) 4. Performance InformationTalent Category*VocalInstrumentalDanceVarietyIf other, please specify.Description*(Genre of music, instrument, dance style, type of variety act.)Piece to be performed*Do you use live accompaniment?*YesNoIf yes, which instrument?Do you use background music?*YesNoDo you use props?*YesNoAudition Type*Link to Video (YouTube, Vimeo, other video upload service)Will mail in DVDVideo audition link*(YouTube, Vimeo, other video upload service)Mail Audition to: Edmonton EXPO Centre P.O. Box 1480 Edmonton AB T5J 2N5 Attn: K-Days Talent Search 5. FeesFees are per performer and include GST.Junior Division entries*Enter the number of performers. The maximum number of performers in a group is nine (9).123456789Admin Fee$25 (per performer) Price: $ 25.00 CAD Youth Division entries*Select the number of performers. The maximum number of performers in a group is eight (8).12345678Admin Fee - Youth$25 (per performer) Price: $ 25.00 CAD Adult Division entries*Select the number of performers. The maximum number of in a group is six (6).123456Admin Fee - Adult$25 (per performer) Price: $ 25.00 CAD Total $ 0.00 CAD Rules and RegulationsI have read the Rules & Regulations*Find the Rules & Regulations here. I agree Where did you hear about the Talent Search?*Check all that apply. Word of Mouth Poster K-Days Website Past Contestant Brochure Facebook Twitter Other, please specify: If other, please specify:* When you click submit, you will be transferred to our PayPal webpage for your entry payment. Your entry will not be processed until we have confirmation of your payment.