[HEMP 101 TOUR/LYRICAL CONTEST] CONTESTANT ENTRY FORM
By submitting this form you agree that you have read and agree to the HEMP 101 TOUR/LYRICAL CONTEST RULES AND REGULATIONS
Please complete the form below, * fields are required *
*
*
* Name of Person Submitting Form:
* Relationship to the contestant(s): (member, parent, manager, etc) * Primary Contact: :
(If same as above select same and enter x in text box)* Name of Artist/Group/Band:
* Primary Writer:
* Primary Artist/Member:
* Primary Mailing Address:
* City: * State: * Zip:
* State: * Zip: * Contact Telephone #: ( ) -
Mobile #: ( ) - * Contact Email:
( if you do not have an email...entry by mail is accepted )Please list individual members below: ( required for band/group ) (seperate lines with ENTER) (if there are more than four member please list additional members in the extra notes box below)Name: Name:
Name: Adrs: Adrs:
Adrs:City: City:
City: State: State:
State: Zip: Zip:
Zip: #: ( ) - #: ( ) -
#: ( ) - Name: Name:
Name: Adrs: Adrs:
Adrs:City: City:
City: State: State:
State: Zip: Zip:
Zip: #: ( ) - #: ( ) -
#: ( ) - Artist/Group Website: ( EXAMPLE: http://www.acca-consortium.org )MySpace Profile Link: ( EXAMPLE: http://www.myspace.com/acca-consortium )You Tube Profile Link: ( EXAMPLE: http://www.youtube.com/profile_name_here )Other Website(s): Referred By:
* Circle the Appropriate Category:
* How do you define your style?:
* Choose the Appropriate Category :
Titles of selection you are entering:
please list additional song titles in the extra notes space below* Title I:
* Title II:
* Title III:
Title IV:
Work(we suggest you paste your work here - or you can enter them)
(we suggest you paste your work here - or you can enter them)if you are entering more than 4 songs please list them in the extra notes box below* I. Hemp * II. Positive Social Political Change
* II. Positive Social Political Change* III. Your Own Creation IV.
IV.Background ( optional )
I.II.
II.III.IV.
IV.* Did you collaborate in the writing of any composition?
If the work(s) is/are owned or entered by other than the song writer named in #1 above, identify the owner or entrant below (Please print)
Writer:
Mailing Address:
City:State:Zip:
State:Zip:Title:
Title:
Title:
Title:
* Biography:
*
( optional ) You may also send a picture with your CD/DVD.
Please add any additional notes here:
* By submitting this information you agree to the
[Rules and Regulations of the Hemp 101 Tour/Lyrical Contest.]
Updated 10.10.2009
[HEMP 101 TOUR/LYRICAL CONTEST] CONTESTANT ENTRY FORM Copyright,
ACCA-CONSORTIUM, Hemp 101 Tour/Lyrical Contest Copyright 2009, 2010. All rights reserved.
