OFFICIAL ENTRY FORM FOR
DUBLIN IDOL
(New Entry Deadline: Thursday, January 12th, 2012)
First Name ___________________ MI_____ Last _____________________
Address: _____________________________________________________
_____________________________________________________
Home Phone Number ( ) _____________________________________
Grade in School _____ Age_______ Sex: (circle one) Male or Female
School currently attending _______________________________________
Name of the Parent(s)/ Guardian(s) of the Participant
_____________________________________________________________
Cell Phone Number of Parent/Guardian ______________
Cell Phone Number of Particiapant __________________
E-mail Address (Up to 2 E-mail addresses allowed):
______________________________________________________
_______________________________________________________
Circle the category t which you are entering and V for Vocalist or I for Instrumentalist:
Junior Division: Grades 4-7 ( V or I ) Senior Division: Grades 8-12 ( V or I)
Make check for $25.00 payable to: Dublin Music Boosters
Make check for $25.00 payable to: Dublin Music Boosters
Mail To: Mrs. Jeanne Wohlgamuth
Dublin Jerome High School
8300 Hyland-Croy Rd.
Dublin, Ohio 43016
Dublin Jerome High School
8300 Hyland-Croy Rd.
Dublin, Ohio 43016























