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Italian American Idol Entry Form Contest Sunday, September 4th, 2011 3:30pm – 5:00pm Contestant check in 2:00pm – 3:00pm On the Festa Italiana Main Stage

Official Entry Form Space is Limited to Fifteen Applicants Name_________________________________________________________ Address_________________________ City____________ Zip_______ E mail ________________________________________ Phone (Home/Cell) ____________________ I am over the age of 18__________ Title of Song___________________________ Length of Song _______(3.5 min. max) Musical accompaniment: _____ Compact Disc _____A Cappella Consent: Having read and understood the official guidelines of the Italian Idol competition, I agree to adhere to the rules and guidelines set forth by the Festa Italiana Italian Idol Committee Signature of Contestant __________________________________ Date________ Parental Consent if under age of 18: Having read and understood the official guidelines of the Italian Idol competition, my son/daughter___________________________ will adhere to the rules and guidelines set forth by the Festa Italiana Italian Idol Committee. I therefore give consent for my child to participate in Italian Idol. Signature of Parent/Guardian_____________________________ Date________ Signature of Contestant __________________________________ Date________ Registration is Free Completed official entry forms for Italian Idol should be faxed to the following No Later than Noon Friday, September 2nd , 2011: Fax (402) 934-8180 For more information see us on Facebook at La Festa Italiana 2011


Italian American Idol Entry Form