REGISTRATION	
  FORM	
  
	
              	
         	
         	
           	
          	
           	
           	
           	
          	
  
Section	
  I:	
  Personal	
  Information	
                     	
           	
           	
           	
          	
           	
           	
           	
  
	
  
Name:_______________________________________________________________________________________________	
  	
  
	
  
City:_____________________________________	
  	
   	
                                               	
  
	
  
Phone	
  (______)_________________	
  	
  Work	
  Phone	
  (_____)	
  ________________	
  Cell	
  Phone	
  (______)____________________	
  
	
  
The	
  best	
  time	
  to	
  contact	
  me	
  is:__________________	
  	
  A.M.	
  	
  P.M.	
  	
  on	
  my	
  	
  Home	
  phone	
  	
  Work	
  phone	
  	
  Cell	
  phone	
  
	
                  	
  
Is	
  it	
  ok	
  to	
  text?	
  	
  Yes	
  	
  	
  	
  	
  No	
  	
  
	
  
Check	
  Appropriate	
  Box:	
  	
  	
  	
  	
  Junior	
  Category:	
  14-­‐19	
  years	
  old	
   	
  Senior	
  Category:	
  20	
  years	
  old	
  &	
  up	
  
	
  
Parent’s	
  Name	
  (if	
  in	
  Junior	
  Category):	
  _____________________________________________________________________	
  
	
  
Person	
  to	
  contact	
  in	
  case	
  of	
  emergency_____________________________________	
  Phone_________________________	
  
	
  
Email	
  Address________________________________________________________________________________________	
  
	
  
	
  
	
  
	
  
Section	
  II:	
  Song	
  Information	
  
	
  
Name	
  of	
  Song:_________________________________________________________________________________________	
  	
  
	
  
Artist:________________________________________________________________________________________________	
  	
  
	
  
Song	
  Length:_________________________________	
  	
    Paid	
  ($10)	
  Entry	
  Fee:	
  	
  	
  	
  Yes	
  	
  	
  	
  	
  No	
  
	
  
	
  
       The	
  winning	
  contestants	
  will	
  be	
  announced	
  on	
  the	
  Wayne	
  Idol	
  Facebook	
  page	
  on	
  Aug	
  8	
  at	
  9:00	
  p.m.	
  	
  
                                                 www.facebook.com/waynecountyidol	
  

Wayne idol registration form

  • 1.
                    REGISTRATION  FORM                       Section  I:  Personal  Information                     Name:_______________________________________________________________________________________________       City:_____________________________________           Phone  (______)_________________    Work  Phone  (_____)  ________________  Cell  Phone  (______)____________________     The  best  time  to  contact  me  is:__________________    A.M.    P.M.    on  my    Home  phone    Work  phone    Cell  phone       Is  it  ok  to  text?    Yes          No       Check  Appropriate  Box:          Junior  Category:  14-­‐19  years  old     Senior  Category:  20  years  old  &  up     Parent’s  Name  (if  in  Junior  Category):  _____________________________________________________________________     Person  to  contact  in  case  of  emergency_____________________________________  Phone_________________________     Email  Address________________________________________________________________________________________           Section  II:  Song  Information     Name  of  Song:_________________________________________________________________________________________       Artist:________________________________________________________________________________________________       Song  Length:_________________________________     Paid  ($10)  Entry  Fee:        Yes          No       The  winning  contestants  will  be  announced  on  the  Wayne  Idol  Facebook  page  on  Aug  8  at  9:00  p.m.     www.facebook.com/waynecountyidol