Southern Starz Rap Wars Registration Form.

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Southern Starz
Printable Audition Registration Form

Contact Southern Starz: 601-278-4648

You must complete every question to register. Print out the registration form and mail it with a $25 money order for single performers or $50 for a group of 2 or more.
(no checks or refunds)

NAMI
5430 Executive Place
Suite #1 - 2nd Floor
Jackson, MS. 39206
make money order payable to: (Stan Jones)
Our Southern Starz Executive Producer

You must also bring in a signed copy of the prize list, rules and agreement before you are allowed to audition or perform for Southern Starz Entertainment. (Click Here)

If you have any questions or comments please Feel free to contact us at: www.southernstarz.net or Call: (601) 278-4648

(please Do Not enter stage name - Group leader must enter your first and last name)
First Name: _______________________________ Last Name: _____________________________

Group Name: _______________________________________________________________________

Present Address: _____________________________________________________________

City & State:
________________________________________________________________

Zip Code: ____________________________

Contact Phone Number (include area code): __________________________________

Valid Email Address: ___________________________________________________
(to receive additional information from southern starz ):

Your website: such as, myspace, tagworld,
your personal website, a mucic webpage, etc.
If you do no have one, enter none.
_____________________________________________________________________

How Long have you performed?
____________________________

Your age:
____________________________

Do you have your music on CD?
Please circle one:
Yes No

Signed or Unsigned:
____________________________

For those outside of the MS. area
Are you able to provide your
own transportation, rooming
and meals? Please circle one:
Yes No

How did you hear about our website?
Please circle one:
Popular search engine
A friend
Myspace
TV
Radio
Newspaper
Other

Why Do You Want To Audition For Southern Starz Entertainment?
______________________________________________________________________________

______________________________________________________________________________

Signature (If you are a group, we will need group leaders signature)____________________________
_______________________________________________________________________________

Printed Name_____________________________________________________________________

Today's Date____________________________________

Guardian's Signature if under 18 _______________________________________________________
Guardian must be present at all auditions, performances, photo shoot, etc. (must be 17 years of age and older to audition)