Cooma Youth Music Awards 2015
ENTRY FORM
(Please fill out a separate Entry Form for each performer - even if you’re in a group)
Name of performer / group: .........................................................................................
Age: ………
Age Category:
Juniors (12 to 15 years of age)
Seniors (16 to 25 years of age)
Consent of Parent or Guardian (needed for children under 16 years of age):
I consent to have my child perform in the Cooma Youth Music Awards. I also consent to allow images and/or video of my child taken during this
event to be displayed
Signed...................................................................... (Print Parent/Guardian's Name................................................................ ....................................)
Phone: ...................................
Mobile: ............................................
Email: …………………………………………………………….
How would you best describe your style of music? (E.g. Folk, Classical, Rock, Blues, Country, Jazz)................................................
A P.A. System with Microphones will be available for all performers. Do you have any other special requirements?
YES NO If Yes, please specify............................................................
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The event will be held on Saturday 11 April at The Hub Youth Centre, 39 – 41 Vale St Cooma.
All performers must arrive by 2pm. Family/friends/audience are all welcome to attend.
Terms and Conditions:
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All performers must be registered by the 8 of April 2015
As this event is family friendly the organizers reserve the right to exclude any performances that may be deemed offensive to
a general audience.
Any images or video taken during this event may be used by the event organizers for future promotions.
All the decisions of the judges are final and no correspondence will be entered into.
I agree to these terms and conditions and I will comply with any lawful direction given by the organizers and/or officials during this
event.
Signed……………………………………………………..
Dated………………………………….
Please return this form to:
Cooma School of Music,
Shop 2 Parkview Arcade 123 Sharp St, Cooma NSW 2630
Phone: (02) 6452 6067 Email: [email protected]
Or
Cooma Monaro Shire Council (front desk)
88 Commissioner St Cooma
Phone: 0437 135 092 Email: [email protected]
CLOSING DATE FOR ENTRIES 8th April 2015
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