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Lions / CTV
Children’s Christmas Telethon
Saturday, Dec 6th, 2014
APPLICATION FORM
Submissions accepted until Friday October 10th, midnight
Performer or Primary Contact:
Performer/Contact:
_______________________________________________
Gaurdian:
_______________________________________________
Address:
_______________________________________________
City:
_______________________________________________
Postal Code:
Phone:
Age:
E-Mail:
__________________
________________________________________________
______________
________________________________________________
Please describe your performance:
Your application must include:



completed application form
good quality video of your performance (CD or video link)
one 5x7 photograph to be placed on www.lionsctvtelethon.ca
Your application can be emailed to:
[email protected]
or drop-off your envelope/CD at:
Blue Sky Insurance Brokers
128 McIntyre St W #101, North Bay
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Lions / CTV
Children’s Christmas Telethon
Saturday, Dec 6th, 2014
APPLICATION FORM
Submissions accepted until Friday October 10th, midnight
Submissions:

videos submitted do not have to be the same performance that you will perform
at the telethon but it is preferred.

performances are not limited to singing: many forms of entertainment accepted.

Christmas songs/themes are encouraged but not required.

please include only one song/performance video with your submission.

submissions must include the following:

good quality video of your performance (send CD or video link)

one 5x7 photograph to be placed on www.lionsctvtelethon.ca
Note: submissions become the property of the telethon and will not be returned.
If selected to perform:

you, or your guardian, must sign a release form.

please start preparing your final songs/performance:

allowed 6 minutes of air time which may allow for more than one song.

any recorded sounds/music must be provided on CD only.

You must attend the rehearsal on the evening of Friday, Dec 5.

you will be notified of your time slot well in advance of the telethon date.

you must arrive two hours prior to your time slot.
If you do not arrive on time, you may lose your time slot and opportunity to
perform.

minors must be accompanied by a guardian/parent at both the rehearsal and
telethon.

you will be notified through your contact information with further information
regarding the telethon.
Selections are at the discretion of the Entertainment Committee and are final.
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