Polk City Festival Bill Riley
Event Timing: July 15 , 2017
Event Address: 107 N 2nd St, Polk City, IA 50226
Contact Deb at (515) 669-2816 or markertdeb44@gmail.com
Contestant Name (if a group, list their names below yours. Only one person needs to register per group.)
Your answer
Parent Name
Your answer
Age of Contestant(s)
Your answer
Phone Number(s)
Your answer
Hometown
Your answer
Email
Your answer
Name of Act
Your answer
Type of Act
Your answer
Do you need... (check all that apply)
Have you qualified for the State Fair?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms