Junior & Teen Talent INDIVIDUAL Reg. 26

Junior & Teen Talent INDIVIDUAL Registration ONLY

It is very important to choose the location of competition. This registration form is for INDIVIDUAL entries. Only one participant name per entry form. For example: If "Sally" & "Johnny" are both entering a vocal solo, one form would be completed for "Sally" and a separate form would be completed for "Johnny".
Please choose the REGIONAL competition location for your INDIVIDUAL REGISTRATION*
I am also registering INDIVIDUAL entries for the State level (TEENS = Bible, Art, Creative Writing Multi-Media categories & JUNIORS = Individual & Group Bible Quizzing only)*
INDIVIDUAL Entry Participant Information

Please complete and review all fields accurately before submission
Individual Participants Name*
This is name that will be printed in the event program.
Individual Entry Participant Information
May 2/State Level Housing Request...*
Please list all individuals who will need housing including chaperons. NOTE: all students MUST HAVE a chaperon of the same sex if using on-site lodging. *
Parent Name*

First NameLast Name
Parent Cell Phone Number*

Area CodePhone Number
Participant Cell Phone Number*

Area CodePhone Number
Youth Pastor/Leader Name*

First NameLast Name
Youth Pastor/Leader Email*
example@example.com
Youth Pastor/Leader Phone Number*

Area CodePhone Number
Sponsoring Church Name*
Sponsoring Pastor Name*

First NameLast Name
Sponsoring Church Pastor's Email*
example@example.com

Junior & Teen Talent INDIVIDUAL Registration ONLY