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