GENTAYO ENTRY FORMI. PERSONAL INFORMATIONPlease answer completely and accurately. Provide appropriate information in all applicable gray boxes.Full name                  

(Last Name) (First Name) (Middle Name)Nickname:       Age:       Birthdate

: dd/mm/yr 

If submitting as a group

     (Group Name)

     (Group members)

Email:Mobile:       Landline

:     

Address:                  (No. Street, Subdivision) (Town, City) (Province, Region)

II. SONG ENTRYTitle of the Song

      Duration

     

Lyrics      

III. CERTIFICATIONI certify, to the best of my knowledge, that all information presented in this entry form are true and correct. Any misrepresentation shall automatically disqualify me from GenTAYO

2017: Music + Youth. I further subscribe and agree that the TAYO Awards Foundation, Inc. has the sole prerogative of selecting the winners of GenTAYO, and that its decision is final.Finally, the undersigned expressly authorizes the TAYO Organizers to use my entry, if I/we

win, and other declared information in this form for publication, display, illustration, advertising, and exhibits, or any medium for any lawful purpose; without prior

compensation.In witness hereof, I am executing and signing this statement voluntarily and without

compulsion.

     

GENTAYO ENTRY FORM (Name and Signature)