Register for Rappahannock Lions Variety Show Contestants Name(s): Parent or Guardian (if applicable): Address: Phone: Email Address Will a piano, other musical instruments, or props be needed? Will a piano, other musical instruments, or props be needed? Yes No School (if applicable): Number of people participating in act: Type of Act (vocal, musical instrument, comedy, dance, other): Length of act (not to exceed five minutes): I give permission to be photographed at the talent show for publicity purposes: I give permission to be photographed at the talent show for publicity purposes: Yes No I understand the talent show is a “family friendly” performance and agree that profanity, off-color remarks and politics will not be part of my act. I understand the talent show is a “family friendly” performance and agree that profanity, off-color remarks and politics will not be part of my act. Yes Sign me up!