Rock’n Music Idol 2011 Online Entry Form

Please fill out the form below to complete the entry process online or to submit your entry via mail, please fill out the printable form. Mail instructions are provided on the form.
There is a $25 submission fee per instrument category.

Two easy steps:

Step 1.- fill out your info    Step 2.- pay the entry fee

1. CONTESTANT INFO

First Name:
Last Name:
Email:
Street Address:
City:
Zip:
Phone:
Alternate Phone:
Age:
Instrument:	Choose OneGuitarBassDrumsKeyboard/PianoVocalsVocals & Instrument
How Did You Find Out About Rock’n Music Idol?
	You will receive confirmation via e-mail.

2. ENTRY FEE

$25 per instrument category.