Contestant Entry Form
Twelfth Annual Wiggles of the West
July 13-15, 2007
Sponsored by Two Old Bags
Please Print Clearly:
Name
________________________________________________________________
Address
______________________________________________________________
City
_________________________ State ________________Zip ________________
Day
phone ______________________ Evening phone __________________________
Fax ________________________
e-mail ____________________________________
Deadlines for photos and bios - June 11, 2007
Deadline for entries - June 25, 2007
Dance name or Troupe name to be used in the contest:
__________________________________________________________________
My choice
for line up position is ___1st part, ___ middle, ___ last part. To be determined
by the postmark of my entry.
(___) Entertainer of the Year - Enclosed is my entry fee of $40.00. Limited to 20
entries.
(___) Rising Star - Enclosed is my entry fee of $35.00. Limited to 15 entries.
(___) Headliner of the Year - Enclosed is my entry fee of $35.00. Limited to 15 entries.
(___) Ensemble of the Year - Enclosed is our
entry fee of $45.00 for the first three or four dancers and $5.00 for each
additional dancer in our troupe. Realizing that the number of troupe members may change,
the entry fee may be adjusted prior to June 25, 2007. Limited to 15
entries.
NUMBER OF TROUPE MEMBERS ______ TOTAL for entry $_________
(___) Alternative Wiggles - Enclosed is the entry fee of $35.00. Limited to 15 entries.
(___) Alternative Ensemble - Enclosed is our
entry fee of $45.00 for the first two dancers and $5.00 for each
additional dancer in our troupe. Realizing that the number of troupe members may change,
the entry fee may be adjusted prior to June 25, 2007. Limited to 15
entries.
NUMBER OF ALTERNATIVE TROUPE MEMBERS ______ TOTAL for entry $_________
Mini- Ensembles - limited to 15 entries.
(___) Duet - Enclosed is our entry fee of $35.00.
(___) Trio - Enclosed is our entry fee of $45.00.
$________
TOTAL AMOUNT ENCLOSED
No refunds unless category is full or if we receive notification of cancellation within 72 hrs of postmarked entry
Make all Checks or Money Orders payable to: Two Old Bags
We do not accept credit cards yet, but if you enter on-line,
PayPal may be used, our PayPal email is two_old_bags@hotmail.com
Note: $20 fee for returned checks.
I agree
to abide by all the rules and regulations of the contest. I/we the entrant(s),
agree that Two Old Bags Ltd., Wiggle Hips, Boomtown Hotel & Casino or any of
their associates regarding the Wiggles of the West contest, are not responsible
to anyone or their heirs, for personal injury, lost or stolen articles, etc., at
or enroute to these events.
I authorize Two Old Bags Ltd. to use or sell
any or all photos/videos taken of me during the Wiggles of the West contest, for
educational, promotional and professional purposes. I release all rights,
compensation, and recourse to these events.
As WINNER, I will use the
contest titles from Wiggles of the West, (Entertainer of the Year, etc.)
correctly for publicity purposes and will reign with dignity.
Signed:
______________________________________________
Date:
___________________________________
Deadlines for photos and bios
- June 11, 2007
Deadline for entries - June 25, 2007
Fill out this form.
Send the signed entry form, entry fee, photo and bio to:
Two Old Bags
PO Box 20366
Sun Valley, NV 89433-0366
For more information email us:
Chris or
Janie
Or Call: 775-673-6032
"We reserve the right to refuse entry"
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