Become A Sponsor
Rock On Palatine Registration
Please enter a value between
Entrant Date Of Birth
(If the above named entrant is under the age of 18, the below Parent/Guardian permission, information and signature is required for participation)
Parent/Legal Guardian Name
I Agree with the statement below, and give my permission.
The above named entrant is under 18 years of age and I hereby expressly give my permission for him / her to participate in the preliminaries, if needed, and the finals for the “Rock on Palatine” Singing Contest.
Use your mouse, track pad, or touch screen to sign.
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
How did you hear about this contest?
How will you be performing?
With background instrumental music
With a musical instrument
* Background music must be supplied by entrant and contain no lyrics. * Musical instruments must be handheld or easily portable no drums or pianos permitted.
Accepted file types: mp3, wav, mp4.
upload your background music file here or email it to firstname.lastname@example.org (music must be received by November 1, 2017.)
Musical instrument type.
• Please provide two brief sentences relating to your background information- grade and which school you attend, hobbies or interests, current or future career plans, background in performing if applicable.
Participants agree that Vicarious Productions and/or J P Wood Martial Arts may use any image, photograph, voice or likeness, in its promotional materials and publicity efforts without compensation. Participants understand that these photographs, images, video or audio may be retouched or enhanced and may further be used in publications, print ads, electronic media (e.g., video, CD-ROM, Internet/WWW), or other media now known or hereafter created, anywhere in the world.
Participants further understand that by participating in this event, they release Vicarious Productions and J P Wood Martial Arts and their representatives, licensees, employees, photographers, and their designees from any and all liabilities, including for any violation of all privacy or proprietary rights.
I agree to the Photo/Video Release terms.
As the parent/guardian of the entrant I agree to the Photo/Video Release terms.
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