ILLAWARRA MUSIC FOUNDRY 2018
PERFORMER REGISTRATION FORM (MANDATORY) ENTRY ADMIN FEE IS $10 PER PERSON (NON-REFUNDABLE) AND YOU CAN ENTER MULTIPLE EVENTS. I.E High School SOLO & DUO & High School BAND. Please read terms and conditions.
ABOUT YOU
Artist Name
*
First Name
Last Name
Artist Phone Number
-
Area Code
Phone Number
Artist Email
*
example@example.com.au
Gender
*
Male
Female
DATE OF BIRTH
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is your AGE? As of October 1st 2018
*
Which School are you attending?
Leave Blank If Doesn't Apply
Parent / Guardian Name 1 (Over 18 Not Required)
First Name
Last Name
Parent / Guardian Name 2 (Over 18 Not Required)
First Name
Last Name
Parent / Guardian Contact 1 (Over 18 Not Required)
-
Area Code
Phone Number
Parent / Guardian Contact 2 (Over 18 Not Required)
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Please Attach A Photo of Yourself
Browse Files
Cancel
of
ENTRY DETAILS
Which Division are you entering in ?
*
Primary School Solo
Primary School Duo
Primary School Band
High School Solo
HIgh School Duo
High School Band
Under 25's Solo
Under 25's Duo
Under 25's Band
Which Instrument do you play?
*
Vocals
Guitar
Bass
Piano
Drums
Other
How Long have you been playing your instrument in years?
I.e 1 Year
Primary School Solo Artist are allowed backing tracks? Will you be using one?
*
Yes
No
N/A
Do you require the use any backline gear?
LINE 6 QUAD AMP
BASIC DRUM KIT
ALL OK - I HAVE MY OWN EQUIPMENT
What is the Name of your Music school?
Leave Blank If None
What is the Name of your Music Teacher?
Leave Blank If None
What is the Name of Duo / Band Group ?
Solo Entry Leave Blank
Describe Your Preferred Genre Of Music? I.e ROCK / COUNTRY / METAL / POP /
Do you have Original Songs to perform ?
*
YES
NO
Enter the names of your Duo / Band members you will be playing with:
Band Member / Duo 2
First Name
Last Name
Band Member 3
First Name
Last Name
Band Member 4
First Name
Last Name
Band Member 5
First Name
Last Name
Band Member 6
First Name
Last Name
Please provide any Facebook/YouTube/Soundcloud LINKS if your have them?
MEDICAL
MEDICARE NUMBER
xxxx xxxxx x (X)
Smoke Machine and Lighting Questions - Does any of the following apply to you:
*
Asthma
Epilepsy
None of the Above
Emergency Contact 1
*
First Name
Last Name
Emergency Contact 2
First Name
Last Name
Emergency Phone Number 1
*
-
Area Code
Phone Number
Emergency Phone Number 2
-
Area Code
Phone Number
Enter the message as it's shown
*
prev
next
( X )
Contestant Entry
$10.00 AUD
$
10.00
AUD
Submit
Should be Empty: