WV KARAOKE CHAMPIONSHIP PREREGISTRATION ENTRY FORM

KARAOKE FORM

Name _________________________________________________

Address _______________________________________________

City ______________________________

State ___________ Zip ______________________________

Phone ______________________ Other ______________________

Email __________________________________________________

Choose two songs you wish to sing(one slow, one uptempo):

________________________________________________________

________________________________________________________

Will you bring your own CD or do we need to provide them? ______

I/We agree the final decision is that of the judges and I/We agree not to hold Duckies(this includes the owners, the management, employees), WV Autumn Festival (this includes the board, staff, volunteers, judges, officers)responsible for any accidents, illnesses, injuries, losses incurred a sa direct or indirect result of the event.

Signature __________________________________ Date ________

Parent Signature (if under 18)

__________________________________________ Date _________

Mail with entry fee of ten dollars for a child, twenty for an adult to WV Autumn Festival, P.O. Box 102, Flatwoods, WV 26621