Talented Teen Competition
Talented Teen Competition

Registration Form

Please fill in the below form to enter the Talented Teen Competition 2012 at Twin Towns Clubs & Resorts. *Required fields are mandatory.

Title

First Name *

Last Name *

Email Address *

Phone Number *

Mobile Number

Date of Birth *

Address *

City *

State *

Postcode *

Country *

Performers under the age of 16 require Parent / Guardian approval ! *
I am over the age of 16
I am under 16

Parent / Guardian Name

Address

Phone

Mobile

Please tick the box to approve

I approve the above named to perform at the talented teen competition.

Date

Name of act *

Type of act *

Entrants may only enter one heat, please select which heat you are entering *
Heat 1 - Sunday 8 January 12
Heat 2 - Sunday 15 January 12
Heat 3 - Sunday 22 January 12
Heat 4 - Sunday 29 January 12

Terms and Conditions *

1. All registrations to be completed by 2.00pm NSW on all Heat dates. 2. Entrants may only enter one heat. 3. The competition is open to individual acts only. 4. Entrants must be between the ages of 13 and 17 between the competition dates of January 8th 2012 and February 5th 2012. 5. Competition is not open to professional acts. 6. Parts of the talent competition may be filmed or photographed during your performance . By competing in the competition you permit us to use any film or photography taken for promotional or public airing.

I have read and agreed to the terms and conditions of the Talented Teen Competition 2012.

Enter Word Verification *