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.

Erlanger, Kenton County Public Library - Saturday September 12, 2009. Registration begins at 10 a.m. Competition begins at 10:30 a.m. Entry deadline: Midnight, Monday, September 7, 2009.

Prestonsburg, Mountain Arts Center - Saturday September 19, 2009. Registration begins at 9 a.m. Competition begins at 10 a.m. Entry deadline: Midnight, Monday, September 14, 2009.

Somerset, Pulaski County Public Library - Saturday September 19, 2009. Registration begins at 4:30 p.m. Competition begins at 5 p.m. Entry deadline: Midnight, Monday, September 14, 2009

Madisonville, Glema Mahr Center for the Arts - Saturday September 26, 2009. Registration begins at 9 a.m. Competitions begin at 10 a.m. Entry deadline: Midnight, Monday, September 21, 2009

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 Storytelling Conference, Friday, November 6, 2009, at Eastern Kentucky University, Richmond, Kentucky for the State Youth Storytelling Championships. Second place winners will be held on standby in case someone cannot compete at the State Finals.

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 Mail in semi-finals, this form must be signed and delivered to the address below postmarked prior to midnight competition entry deadline, September 30, 2009

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 entry deadline for your chosen venue. Those entry deadlines are: Erlanger, September 7; Prestonsburg and Somerset, September 14; and Madisonville, September 21, 2009.

Storyteller Signature ___________________________ Date ___________

Parent/Guardian Signature _______________________Date ___________

Please check that the above information is 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.

Please enter nospam below. This is a primitive spam prevention technique, and we apologize for the inconvenience.
nospam: