Youth Talent: Official Entry Form SATURDAY - OCTOBER 12 - ARKANSAS STATE FAIRGROUNDS - ARKANSAS BUILDING This event will follow immediately after the 13 and under pageants. Check in will begin at 5 PM and competition hopefully beginning at 6 PM. Any and all talents are welcome! Music must be labeled and brought on an USB drive. No exceptions. We will not play music off of Youtube or streaming services. A more detailed schedule will be emailed/mailed for both of these events prior to the event once we have official entries from the pageant that takes place prior that day.Divisons:(Required) Ages 5-9 Ages 10-13 Must compete as contestants age on October 1st.Name(Required) Age(Required) Date of Birth(Required)I READ THE CONTESTANT GUIDELINE AND UNDERSTAND THE RULES AND REGULATIONS.(Required) YES Mailing Address(Required) Address Line 2 City State / Province / Region ZIP / Postal Code Your parking pass will be mailed to this address, so please double check it is correct.Phone(Required)Email(Required) Parents(Required) Entry FeeEntry Fee: Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name By signature below, Contestant/Parent/Guardian certifies they have read, understand, and agree to comply with the rules and regulations of this talent competition and further assumes all liability and responsibility for any loss, accident or injury resulting from participation in this event. Competition information and photos may be used for publicity purposes. NO REFUNDS OR TRANSFER OF FUNDS WILL BE GIVEN/ALLOWED. The Parent/Guardian will take full responsibility for and agree to release the Arkansas State Fair Association, director, staff, and facility from all liability for any losses, damages, or debts incurred by or made by the contestant, in connection with the talent competition. Parent/Guardian SignatureDate MM slash DD slash YYYY Δ