Email  

Your Name  

Nick Name  

Your Address  

Date of Birth  


3 Song Choices?
Song Choice 1    Judged Song Pick
Song Choice 2    Tie Breaker Song
Song Choice 3    Back up Song

Are you being Sponsered by a Local Business?
 Yes        No       If YES, Who?  


I have Read and Understand all Rules and Guidelines for this Contest

   I Agree   
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