The following information is required. Complete and submit this form with the entry fee. A confirmation will be sent to the email address provided.
Your Full Name: Age:
Please fill out the additional information below if the contestant is a minor.
Parent’s Full Name:
By checking this box you are signifying that you are the parent and or legal guardian of the contestant whose name is given above and that you consent to his or her participation in the contest.
Address:
City: State: Zip Code:
Phone Number: - - Email:
Song Selection: Choose One Sittin' On The Dock Of The Bay I Heard It Through The Grapevine Eleanor Rigby River Deep Mountain High People Get Ready Superstition Respect Ain't Too Proud To Beg Stand By Me Stuck in the Middle With You I Feel The Earth Move Lady Marmalade California Dreaming Higher Ground Hallelujah I Love Her So I Saw Her Standing There My Girl Every Breath You Take You've Got A Friend Desperado OOH Child Killing Me Softly You Bring Me Joy Don’t Know Why Living for The Love of You
Please read before continuing. WEIKOA Financial is an independent financial management company that collects and supervises online transactions. By submitting this application you will be directed to WEIKOA Financial payment menu screen to complete part the registration process.
*Note the entry fee per contestant is $5 usd. Amounts grater or less than the entry fee stated will be sent back to the sender and your entry application will be voided.
**If the winning contestant is under 18 the check will be made payable to the parent/legal guardian.
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