MADHURAGEETHAM MUSIC CONTEST 2021 REGISTRATION FORM

Registration Form
Name(Contact) *
Contact person for communication
Phone Number (Contact) *
E-mail (Contact) *
For Communication
Category *

Sub Juniors Juniors Seniors Open
Sub Category *

Solo Group
Participant Name *
Full Name as per Certificate
E-mail *
email confirmation will be sent to this id
Phone Number *
Date of Birth *

Month Day Year
Date
2. Participant Name *
Full Name as per certificate
2. Email *
example@example.com
2. Phone Number *
2. Date of Birth *

Month Day Year
Date
3. Participant Name
Full Name as per certificate
3. Email *
example@example.com
3. Phone Number *
3. Date of Birth *

Month Day Year
Date
4. Participant Name
Full Name as per certificate
4. Email
example@example.com
4. Phone Number
4. Date of Birth

Month Day Year
Date
Teacher Name/ Music School *
Specify teacher or school name
Payment Mode (Please mention Registration number during transaction) Registration fee $20/participant *

Online Transfer (Refer to bank details below) PayNow - T12SS0154K
Bank Details
Bank Name: OCBC; Account Name: Namadwaar; Account No: 641852512001; Kindly specify the registration no of your child/children while doing payment
Terms & Conditions

1.The registration fee is non-refundable.The participant/s will inform the organizers well in advance in case. He/She is unable to participate.I consent by checking the below checkbox.

2.PDPA (Personal data protection act) Consent: The personal information collected will be used for Madhurageetham Contest and promotional purposes only. I consent to providing the above requested data by checking the below box

3.Namadwaar reserves the right to conduct the event online, if the situation demands. I consent by checking the below box
Should be Empty:

Registration Form