6TH ANNUAL MONROE LIP SYNC!
SATURDAY, May 15, 2010, 6:00 PM
                 
    CONTESTANT REGISTRATION FORM
Please complete this form and return it via e-mail to:  contestant@monroelipsync.org 
or via postal mail to 15103 173rd Ave SE, Monroe, WA 98272
Registration is $5.00 per individual act or $10.00 per group, payable through postal mail 
or at check-in the night of the show.  Please be sure to read the Contestant Rules.

Only the first 25 acts to sign up will perform so sign up early!

First & Last names of all 
contestant in your group: ____________________________________________________________

                          ____________________________________________________________

Contact person & ph #:    ____________________________________________________________

Song & original artist:   ____________________________________________________________

E-mail address:           ____________________________________________________________

Snail mail address:       ____________________________________________________________

Category:
The oldest person in your group determines the age category of the group

____	Elementary  (kindergarten through grade 5)    Age (s)  ____________
____	Middle School (grades 6 through 8)            Age (s)  ____________
____	High School (grades 9 through 12)             Age (s)  ____________
____	Adult (over 18)                               Age (s)  ____________


By signing up to be an act in the Monroe Lip Sync contest you are agreeing to abide by the 
Rules and Regulations of the Monroe Lip Sync Contest, and to release and allow the Lip Sync
Committee to use your photo or audio for publicity purposes if desired. 

  ________________________________________________ 
 Signature (adult if the contestant is a minor)
 (your typed name will be considered your signature if submitting electronically)

Winners may be asked to perform at other venues. (Movies Under the Moon, Explosion Basketball
games, Relay for Life). Please initial below to give the Monroe Lip Sync Committee permission
to release your phone number to interested venues.  

_______