Town & Country Days

Amateur Talent Registration (print this page and mail)

Contestants are asked to pre-register by completing a registration form 

and mailing it to

RR1 Box 90, New Martinsville WV 26155

for by calling 455-3805.

On the day of the event contestants are asked to sign in at the stage at least thirty minutes prior to the start of the contest.

Name:_________________________________________________

Address:________________________________________________

City/State/ZIP____________________________________________

Phone Number: ( ) _______-______________

Age Category (check one category and provide age for youth division)

(Age at the time of the event, NO BANDS PLEASE)

_______ Youth (12 and under) (age as of August 18th)

_______ Teen (Ages 13-17)

_______ Adult (18 and Older)