Contestant Registration form

 THE 

BRIDGES 

FOUNDATION

A Non-profit Charitable Organization for Individuals with Special Needs

 

CONTESTANT REGISTRATION FORM

 

  

 

EVENT (CIRCLE ONE):        SINGING IDOL                      DANCE CONTEST

 

 

Name                                                                                                               Age                 

 

Phone                                                              Email:                                                               

 

Address                                                 City                            State               ZIP                

 

Music Selection                                                                                                                       

Note: If contestant is not providing their own music selection is limited so please contact us for a list of music available.

 

I/we agree to indemnify and hold the Bridges Foundation and all of its employees, board members, volunteers and proxies harmless for any loss of liability, property damage, or personal injury arising out of my/our participation in and/or association with the Bridges Foundation.  I accept the above rules and regulations.

 

 

SIGNATURE                                                               DATE                                    

 

PLEASE SUBMIT APPLICATION TO:

THE BRIDGES FOUNDATION, PO BOX 1416, GRAY, MAINE 04039 (207) 939 4228

EMAIL: susan@thebridgesfoundation.org

 

PO Box 1416, Gray, ME  04039

Phone: (207) 939 4228     Fax: (207) 657 5584

Email: gregg@thebridgesfoundation.org    Web: www.thebridgesfoundation.org