NORTHEAST OHIO STAR ENTRY FORM Name of Singer/Contestant: ________________________________________________________________________ Address:____________________________________________________________________________ Phone Number:___________________ Year of Birth: ________ (all ages welcome) If Contestant is Under 18, name of contestant’s parent or legal guardian: ________________________________________________________________ Singer should choose two different songs to perform. Singer’s Choice of Two Songs to Sing for Competition: 1. Song for Elimination Round to be sung acapella (if needed) _________________________________________________________________ 2. Which artist recorded the version of the song you have chosen for the Elimination Round? __________________________________________________ 3. Song for Final Round: __________________________________________________. 4. Which artist recorded the version of the song you have chosen for the Final Round? _________________________________________________ 5. Will you be supplying the CD of pre-recorded tracks for the song in the final round?________ (If you are not supplying the CD please feel free to contact the Contest Organizer to see if the Contact Organizer can help you find a copy of pre-recorded tracks.) Registration fee is $20. Make check payable to: Streetsboro Family Days, Inc. Mail (1) check (2) entry form, (3) certification form and (4) recent photo of performer to: Northeast Ohio Star c/o Streetsboro Family Days PO Box 2222, Streetsboro, OH 44241 For questions, contact Contest Organizer Deborah Carothers at 330-990-8513 or email at DeborahCarothers@sbcglobal.net NORTHEAST OHIO STAR CERTIFICATION FORM FOR ADULT CONTESTANTS I,___________________________________________________________________________________________I certify the following: (a) I have received a copy of the rules of the Northeast Ohio Star Singing Competition and agree to be bound by them (b) I am not related to and I, nor any member of my immediate family, have had business dealings with either Sonny Geraci or Billy Joe Royal (c) I understand that the decision of Streetsboro Family Days and the judges is final (d) In the event that I am one of the top three winners, I irrevocably give license to use my name and likeness for the purpose of promoting Streetsboro Family Days and/or Northeast Ohio Star (e) I release the Contest Organizer, Streetsboro Family Days, Inc., and all of its officers, agents, volunteers, and representatives from any and all claims I may have as a result of any irregularity in the enforcement or implementation of contest rules. ____________________________ ____________________ Signature of Contestant Date CERTIFICATION FORM FOR CONTESTANTS UNDER AGE 18 I certify the following: (a) I am the parent and/or legal guardian of the child contestant named on the enclosed entry form; (b) I have received a copy of the contest rules and agree to have my child abide by them (c) neither I, nor any member of my immediate family, is related to either Sonny Geraci or Billy Joe Royal; (d) neither I nor any member of my immediate family has had business dealings with Sonny Geraci or Billy Joe Royal; (e) I understand that the decision of Streetsboro Family Days and the judges is final; (f) in the event that my child is one of the top three winners, I irrevocably give license to Streetsboro Family Days and/or Northeast Ohio Star to use my child’s name and likeness in promoting Streetsboro Family Days and/or Northeast Ohio Star;(g) I release, on behalf of myself and my child, the Contest Organizer, Streetsboro Family Days, Inc., and all of its officers, agents, volunteers, and representatives from any and all claims I or my child may have as a result of any irregularity or implementation of contest rules. ______________________________ _____________ Signature of Contestant’s Date Parent or Guardian