ANNYEONG BICOL: KPOP CONVENTION 3 APPLICATION FORM

CATEGORY: (Please highlight the box of your chosen category.) (If a group, please put group name here)
□ KPOP Singing Star □ KPOP Kosplay □ KPOP Dance Cover
PERFORMANCE DETAILS
SONG TITLE ARTIST

SOLO/GROUP MEMBER(S) INFORMATION

NAME ADDRESS BDAY AGE
1. (leader)
2.
3.
4.
5.
6.
7.
8.
9.
10.

(For KPOP Singing Star category, please list and indicate back-up dancers, if any.)
LEADER’S CONTACT INFORMATION
CONTACT NUMBER: EMAIL ADDRESS:

I hereby certify that the above information are true and correct to the best of my knowledge and belief.

________________________________ _________________________
Signature over Printed Name Date Completed