Storyteller’s Name
Parent/Guardian’s Name
Street Address
City
State
ZIP code
County
Home Telephone
Second Telephone
E-mail (enter “N/A” if no email address is available)
Teacher/Leader/Sponsor Name (i.e. library, school, church, club, guild)
Sponsor Organization

Semi-Final Competition Selection

You may select only ONE of these Semi-final Competitions. All Competitors must electronically submit or postmark this form prior to midnight, January 23, 2008.

Madisonville, Glema Mahr Center for the Arts, February 1, 2008
Erlanger, Kenton County Public Library, February 16, 2008
Prestonsburg, Mountain Arts Center, February 22, 2008
Somerset, Pulaski County High School Auditorium, February 23, 2008

DVD/VHS Mail-In Semi-Final
This entry method is for those who cannot participate in any of the above competition venues. Mail-in entries must include:

• a DVD/VHS of a single 5 – 10 minute story (Do not use multi-camera shots, special effects or graphics. Do use a full cover camera shot and audio reinforcement, like a microphone on a stand.)
• a signed Entry & Permission form

All first place winners in each category will be invited to compete at the Kentucky State Fair, August 22, 2008 for the State Youth Storytelling Championships. Second place winners will be held on standby in case someone cannot compete at the State Fair.

Permissions

Check the following boxes to indicate compliance.

I hereby give my permission for my child/ward (type child’s full name in box, please) to compete in the Kentucky Division of National Youth Storytelling Showcase.

I hereby give permission for my child's photograph, bio, hometown, and state to appear on the Kentucky Storytelling Association (KSA) and City of Pigeon Forge website(s). Street addresses and phone numbers would not be publicly posted at any time. (City of Pigeon Forge, TN, hosts the National Youth Storytelling Showcase events.)

I understand that video tape/photographs/recordings made for and of this event may be viewed by anyone associated with the event and become the property of the Kentucky Storytelling Association (KSA) and/or the Pigeon Forge Office of Special Events.

I understand the event(s) may be taped (video or audio) and that the tape(s) maybe used for promotional purposes by the KSA and/or the City of Pigeon Forge.

Required – Signature of Storyteller and Parent/Guardian

For the DVD/VHS semi-finals, this form must be signed and delivered to the address below postmarked prior to midnight competition entry deadline, January 23, 2008

For all other semi-finals, a copy of this form, completed and signed must be presented on the day of competition at the Competitor Sign-in Table.

Please note: This is in addition to submitting your entry form electronically by the January 23, 2008 deadline.

Storyteller Signature ___________________________ Date ___________

Parent/Guardian Signature _______________________Date ___________

Please check that the above information correct.

NOTE: Please print two copies of this completed form using your web browser's print button (which usually looks like a printer) BEFORE YOU CLICK ON THE SUBMIT BUTTON BELOW. You will need a copy for KSA Registration and a copy for your records.

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