Act Name: (Individual or Group Name) *

Primary Contact Name *

Phone Number *

Email address *

Mailing Address *

Number of Participants in Act *

Age Range of Participants *

7 - 12 Year Old (Junior)

13 - 21 Year Old (Teen / Young Adult)

22 and Older (Adult)

Category (Check all that apply) *

Vocal Performance

Musical Instrument

Dance / Choreography

Comedy / Improv

Magic / Variety Act

Other

Description of Act: (Please provide a brief summary of what you will be performing, including any specific song titles or themes.) *

Duration of Performance in Minutes (Note: Acts are typically limited to 5 minutes to ensure all participants have time on stage.) *

To ensure the best possible performance, please list your equipment needs, for instance Audio, stage setup, number of chairs, microphones needed, lighting, power outlets and cables. *

Rules of Participation: 1. Content: All acts must be family-friendly and appropriate for all ages. 2. Punctuality: Performers must check in 30 minutes prior to the start of the show. 3. Liability: The Lewis County Chamber of Commerce is not responsible for lost or damaged personal equipment.

Everything Is Better When We Work Together!

Everything Is Better When We Work Together!

141 Second Street
Vanceburg, KY 41179
606 440 0135

Rules of Participation: 1. Content: All acts must be family-friendly and appropriate for all ages. 2. Punctuality: Performers must check in 30 minutes prior to the start of the show. 3. Liability: The Lewis County Chamber of Commerce is not responsible for lost or damaged personal equipment.