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  • Entry Form

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    Julian Kong
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    The document provides information about the YMCA Ipoh's Got Talent competition including entry forms, preliminary and final round dates in November and December 2011. Contestants must fill out the entry form providing their name, identification number, contact details, nationality, whether performing solo or in a group, and the type of performance. All contestants, or their guardians for those under 18, must sign agreeing to the rules and consenting to the use of their photo or video for publicity purposes.

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    The document provides information about the YMCA Ipoh's Got Talent competition including entry forms, preliminary and final round dates in November and December 2011. Contestants must fill out the entry form providing their name, identification number, contact details, nationality, whether performing solo or in a group, and the type of performance. All contestants, or their guardians for those under 18, must sign agreeing to the rules and consenting to the use of their photo or video for publicity purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    43 views1 page

    Entry Form

    Uploaded by

    Julian Kong
    The document provides information about the YMCA Ipoh's Got Talent competition including entry forms, preliminary and final round dates in November and December 2011. Contestants must fill out the entry form providing their name, identification number, contact details, nationality, whether performing solo or in a group, and the type of performance. All contestants, or their guardians for those under 18, must sign agreeing to the rules and consenting to the use of their photo or video for publicity purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    YMCAs Ipoh^Got Talent

    Email: ipohtalent2011@gmail.com

    Entry Form
    Preliminary rounds: 19th & 20th Nov. 2011
    Semi Final: 26th Nov. 2011

    Final: 3rd Dec. 2011

    Venue:
    YMCA Ipoh

    Name: _____________________________________________________________________
    MyKad/Passport No.___________________________________________________________
    Date of birth: _____________________________Age as at 31-Dec-2011_________________
    Home address: _______________________________________________________________
    __________________________________________________________________________
    Tel. No.______________________________

    Nationality: ______________________
    Tick () a box

    Solo
    Group

    My performance will be *singing/dancing/acting/or any other


    (*delete which is not applicable)

    Please specify if any other:____________________________________________________


    I agree that my photograph/s and videos of me may be used for publicity purposes in connection
    with this contest. I have read the rules and regulations set out and agree to abide by them. I
    understand that I will be disqualified if any information given is found to be inaccurate.

    ..

    Signature of contestant

    Date

    Consent given by:


    Name: _____________________________________ (Parent/Guardian) if below 18 years of age
    Parent/Guardians Tel. No. ______________________________________________________

    Signature of Parent/Guardian

    Date

    ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
    For office use only

    Entry No.: _________________________ Entry accepted/rejected: _____________________


    Date received: ______________________ Received by: ______________________________
    Receipt No. ________________________

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