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WCOPA ___ CONTESTANT

OFFICIAL APPLICATION FORM

Please read carefully and fill this up completely, DO NOT LEAVE ANY ITEM
UNANSWERED OR BLANK and answers should be accurate.

Name of Your Talent Scout: Date of Application:

What is/ are your Talent/s:

WHAT IS YOUR EMAIL ADDRESS?:

1. Complete Name ( Passport Name ):


1.1. Given Name:
1.2. Middle Name:
1.3. Surname:
2. Nickname/ other Names:
3. Male/ Female:
4. Email address:
5. Occupation:
6. Company Name:
7. Number of Years Employed:
8. Home Telephone Number/s:
9. Office Telephone Number/s:
10. Mobile Number/s:
11. Residence Address ( City/Province ):
12. Office Address (City/ Province ):
13. Current Residential Address ( City/Province )

FORM 01A WCOPA Philippines – Contestant’s Application Form page 1 of 5


14. ZIP or Postal Code:
15. Date of Birth:
16. Age:
17. Language:
18. Education/ Year/ Course:
19. Do you have a passport?
20. Passport No.:
21. Passport Expiration:
22. Do you have an active US Visa (indicate also if expired/ date expired/
expiration date)?

23. Have you ever travelled to the US (date/s, purpose)?:

24. Have you ever been denied a US Visa?


25. Reason for US Visa denial:

26. Other countries travelled for the past 5 years ( kindly enumerate & indicate
year of travel & purpose of travel )

27. Talent/ Performing Arts Category:


28. Contest/s joined ( indicate year ):

29. Do you have a sponsor?:


30. Sponsor’s Name/s:
31. If working ( Occupation ):
32. Married?:
33. Name of Spouse:
34. Name/s, Age of Children:

35. Father’s Name: Occupation:

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36. Mother’s Name: Occupation:
37. Emergency Contact Number:
38. Emergency Contact Person/ Relation:
39. Why do you want to participate in WCOPA 2016?

40. What are your expectations in joining WCOPA?

41. Kindly give a brief description or profile about yourself:

42. Do you have any medical condition? ( eg. Asthma, Allergies, Sleep
Disorders, Heart Problems, Diabetes, Thyroid Disease and the like ).

43. Have you been convicted of any crime?


44. Religion?
If CONTESTANT is a MINOR: TO BE FILLED UP BY PARENT/ LEGAL
GUARDIAN
45. Full Name of Companion (Passport Name)
42.1. Given Name:
42.2. Middle Name:
42.3. Surname:
42.4. Nickname/ Other Names:
42.5. Relationship to Contestant:
42.6. Birthdate:
42.7. Age:
42.8. Occupation:
42.9. Company:
42.10. Length of Stay in the Company:
42.11. Mobile Phone Number/s:
42.12. Office Address:

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42.13. Office Telephone Number/s:
42.14. Residential Address:
42.15. Residential Telephone Number/s:
42.16. Passport No.:
42.17. Passport Expiration:
42.18. Do you have an active US Visa (indicate also if expired/ date expired/
expiration date)?
42.19. Have you ever travelled to the US (date/s, purpose)?:
42.20. Have you ever been denied a US Visa?
42.21. Reason for US Visa denial:
42.22. Other countries travelled for the past 5 years ( kindly enumerate &
indicate year of travel & purpose of travel )

42.23. Do you have any medical condition? ( eg. Asthma, Allergies, Sleep
Disorders, Heart Problems, Diabetes, Thyroid Disease and the like ).

42.24. Have you been convicted of any crime?


42.25. Religion?

I hereby attest that all information I have entered herewith are true and
correct. I have been made aware that any false or inaccurate information I
have entered here to will render this application to be invalid and will cause
myself and or my Talent and vice versa, to be disqualified from the WCOPA
2016 Competition at any stage of my application and or participation in the
event.

CONFORME:
Contestant Parent/ Legal Guardian

_______________________ _______________________
Signature over Printed Name Signature over Printed Name

Note: KINDLY SIGN EVERY PAGE

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43. Do you have any family and or relatives in the US?
44. Complete names, address & contact numbers of your family and or relatives
in the US:
a.

b.

c.

d.

e.

f.

g.

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The World Championships of Performing Arts Team Philippines

ACTING MODELING VOCAL VOCAL W/Self-Accompaniment


Classical Casual Broadway Broadway
Comical Commercial Casual * Country & Western Country & Western
Contemporary Commercial Formal * Contemporary Contemporary
Dramatic Commercial Swimwear * Gospel Gospel
Open Formal Latin Latin
Acting for Television Petite Casual ** Open Open
DANCE Petite Formal ** Opera Opera
Acrobatic/Gymnastic Petite Swimwear ** Original Works Original Works
Ballet Photo Pop Pop
Ballroom Plus Casual ** R&B/Soul/Jazz R&B/Soul/Jazz
Clogging Plus Formal ** Rap Rap
Contemporary Plus Swimwear ** Rock Rock
Ethnic/Forklore Spokesmodel Variety Variety
Hip Hop/Funk Swimwear World World
Jazz
Lyrical * SR Male Contestants Only INSTRUMENTAL VARIETY ACTS
Musical Theater/Char. ** SR Female Contestants Only Classical 3 and Under Props
Open Contemporary 4 and Over Props
Production Line NO JUNIOR contestants should Jazz Act with Asst.
Song & Dance be in above * or ** styles. Open Act without Asst.
Tap Original Works

FORM 01A WCOPA Philippines – Contestant’s Application Form page 5 of 5

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