City of Subiaco - Ampfest entry form

Name:

Age:

Gender:

Male
Female
Prefer not to answer
Self-described (specify if you wish)

Address:

Phone:

Email:

Entry category:

Individual
Band

If you're entering a band, include details for each person:

Name, age, gender and suburb for each individual

Band or performer name:

Brief description:

Website or social media:

Upload photos:

Song title:

Type of song:

Original
Cover

Link to view/listen:

Or upload audio file:

A public website, YouTube link or similar is preferred. Please only upload a file if you are unable to provide this

Is there anything you want us to know about this song?:

Song title:

Type of song:

Original
Cover

Link to view/listen:

Or upload audio file:

A public website, YouTube link or similar is preferred. Please only upload a file if you are unable to provide this

Is there anything you want us to know about this song?:

How did you find out about this competition?:

City of Subiaco e-newsletter
Facebook
Newspaper
School
Club or group
Friends or family
Other

The above entry is my own, or that of my band's, original performance:

I consent for the information, photographs, video and/or audio that I have provided to be used by the City of Subiaco to promote the competition and the Subi Voice of Youth:

If under the age of 18, I declare that I have my parent/guardian consent to enter and provide the information above:

If selected as a finalist I and/or my band are available to record a live performance in June 2020:

Acknowledge that due to the evolving COVID-19 restrictions the competition format or prize offered may be adjusted:

Enter Ampfest@home

Applicant details

About your band or act

Song 1 entry

Song 2 entry

Declaration