Aventura St r Application Form (Please Print) Name of Contestant: _________________________________________________________ Age: _________ Name of Group (if applicable): _______________________________________________________________ Parent/Guardian Name: ________________________________Relationship Relationship to Participant: _____________ Address: ___________________________________________
Apt #
Zip Code: _______________
Phone: Home: (___) _______________ Work: (___) _______________ Cell: (___) ______________________
I hereby h b authorize th i and d give i my consentt to t the th City Cit off Aventura A t to t use any pictures i t and d video id taken during the Aventura Star Talent Competition for use by the City. ________________________________________________________________________________ Authorized Signature (Parent or Guardian if contestant is a minor) Open Auditions are open to Aventura R id Residents Only O l Proof of Residency is required for all participants
ST R Category Junior Star (Ages 5 – 8)
Where: Community Recreation Center 3375 NE 188 Street
_____ Individual
Audition Dates:
Rising Star (Ages 9 – 12)
Sunday, September 26, 2010 12:00 pm - 2:00 pm
_____ Individual
Saturday, October 16, 2010 12:00 pm – 2:00 pm y, October 26,, 2010 Tuesday, 5:30 – 7:30 pm Groups are limited to NO more than 5 contestants Finals held at Founders Park Bayside Sunday, November 7, 2010 starting at Noon For any questions F i or further f h information i f i please call 305-466-3883
_____ Group
_____ Group
Teen Star (Ages 13 – 17) ___ Individual
___ Group
Shooting Star (Ages 18 – 54) _____ Individual
_____ Group
Shining Star (Ages 55+) _____ Individual
_____ Group
Persons with disabilities requiring accommodations in order to participate must contact the Community Services Department at least 48 hours in advance