seetOFFICIAL 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 ) SeniOFFICIAL 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 Mail To: Mrs. Jeanne Wohlgamuth Dublin Jerome High School 8300 Hyland-Croy Rd. Dublin, Ohio 43016

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

Mail To:   Mrs. Jeanne Wohlgamuth
                        Dublin Jerome High School
                        8300 Hyland-Croy Rd.
                        Dublin, Ohio  43016

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