Cockburn's Got Talent Registration Form

Are you a City of Cockburn resident?:

YesNo

NB: You must be a City of Cockburn resident to register

Nominated Contact Person:

Performers Full Name:

Mobile (e.g. 0400 123 456):

Email:

Date of birth:

Age as of 27 February 2025:

Are you a professional entertainer:

YesNo

Number of performers:

Performers details:

Add your group name (if applicable):

Performance category:

Will you require a microphone?:

YesNo

Do you have backing music?:

YesNo

Technical requirements (if required):

Terms and conditions

1. Age group categories: 10-13, 14-17 and 18+
2. Depending on application numbers, performances will be split according to age.
3. City of Cockburn residents only are permitted to enter this competition.
4. Any performance type is allowed, however it must be tasteful with no profanities. If the performance involves high level of risk, indemnification must be provided.
5. Maximum five (5) minutes performance duration, if accompanied by a song selection this must be submitted at least four (4) days prior to the performance date and by USB format only.
6. Performers must sign in 20 minutes prior to their performance on their allocated night.
7. The judge’s decision is final and no correspondence will be entered into.
8. Performers will be allocated a performance spot on a first come first served basis, as long as all other criteria are adhered to.
9. All prizes are non-transferable and are subject to the rules of the competition.
10. City of Cockburn staff and direct family of staff and/or Elected Members are not eligible to enter.
11.  All photographs and video taken during the competition will remain the property of the City of Cockburn and may be used in future City of Cockburn advertising and promotions.
12.  You will be judged on the following categories with a maximum of 50 points available to each entrant:

• Overall ability and talent (10 points)
• Potential (10 points)
• Audience appeal (10 points)
• Originality (10 points)
• Presentation (10 points)

Prize Money

$300 cash – 1st place in each category
$200 cash – 2nd place in each category
$100 cash – 3rd place in each category
(All prizes transferred via EFT)

Declaration

I have read and agree to the terms and conditions involved in the Cockburn's Got Talent competition as contained within this registration form and acknowledge that I am a City of Cockburn resident.