Name:
Addess:
City:
State:
Zip:
Phone:
E-mail:
I'm registering for:
Date of Birth:
Waivers and Agreements will be mailed or e-mailed to contestants and must be returned prior to the competition
Age on Day of Audtion:
MAIL IN REGISTRATIONS DUE
7 Days before each audition
PRINT, FILL OUT AND MAIL TO:
Energy2Action, LLC
1223 Oak Lane
Shelbyville, IN 46176
Enclose check or money order made payable to Energy2Action, LLC
Mailing Address
Energy2Action, LLC
1223 Oak Lane
Shelbyville, IN 46176
2010 ShelbyIdol T-shirt:
ShelbyIdol T-shirts will be available for pick up at the final show on July 11th or may be picked up at Ciarletta's after that date as well.
