Ajax on Stage Date: Saturday, November24, 2018

Town of Ajax – Recreation, Culture & Community Development

Ajax on Stage Application

Due: October 22, 2018

Ajax on Stage Date: Saturday, November24, 2018

Name: ______Age: ______

Name of Group/Act: ______

Address: ______Postal Code: ______

Phone Numbers: Home ______Cell ______

Email: ______School: ______

Please check which performance category you are entering:

( ) Band( ) Vocal (solo or group)( ) Dance (solo or group)( ) Instrumentalist

( ) Magician( ) Other ______

Name of Song: ______

Name ofBand/Composer/ Choreographer: ______

If several bands make it into the showcase they will be required to share a drum kit. Microphones and monitors (wedges) will be provided. Dancers/Singers must provide performance music/musical accompaniment (no vocals) via MP3 by email or on a CD. Acts are required to provide any additional technical requirements at their own cost.

Please list what equipment you are using:

Please include a brief biography of yourself/group, which will be read to the audience before you enter the stage:

Please include web page address/link to view your online video submission.

If your act contains more than one member please complete the following information for all group members.

1)Name: ______Age: ______

Phone Numbers: Home ______Cell ______

Email: ______School: ______

2)Name: ______Age: ______

Phone Numbers: Home ______Cell ______

Email: ______School: ______

3)Name: ______Age: ______

Phone Numbers: Home ______Cell ______

Email: ______School: ______

By completing the application form, you and your act agree to have its performance video and/or audio recorded and photographed for promotional purposes without compensation.

In consideration of your accepting this form, I hereby for myself, heirs, executors and administrators waive and release any and all rights and claims for damages I, my heirs, executors and administrators may have against the Town of Ajax and/or any and all sponsors of the event, their representatives or assigns on their behalf for any and all injuries or losses that may be sustained by participating in this event.

I / we wish to audition for the Ajax on Stage Youth Talent Showcase, under the stated conditions.

Signature of participant(s) or parent/guardian (if participant is under 18):

1. ______4.______

1. ______5.______

1. ______6.______

Please return this form to the Community Recreation Supervisor:

Or drop off at the following facilities: Ajax Community Centre, McLean Community Centre, Audley Recreation Centre

ENTRY REQUIREMENTS:

• 50% of the members of a particular act must be between the ages of 13 & 19 at time of performance.
• This is an Ajax based showcase. 50% of the members of a particular act must be current Ajax residents or attend school in Ajax.
• Performances may not exceed 5 minutes in length.
• All performances and lyrics must be in good taste. Profanity or offensive material will not be permitted.

For more information please contact 905-619-2529 x 7508 for more information or

Personal Information contained on this form is collected under authority of Freedom of Information, and will be used for the purpose of determining your application for entry for this event. Questions about this collection should be directed to the Freedom of Information Coordinator, 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9. (905) 619-2529 x.3343.