Rock 'n' Roll Competition Entry

Category *

Entrant 1 Name *

Entrant 2 Name *

Date of Birth of the oldest participant *

Your name *

Mobile *

Email Address

State

Postcode *

Country

Payment

Payment must be made before your entry is accepted.

Make payment HERE

I/We hereby adhere and agree to the conditions of entry outlined here and will follow instructions from representatives of Parkes Elvis Festival. Registered participants are advised that during the course of this event they may be photographed or filmed by official Parkes Elvis Festival photographers or by officially accredited media. It is a condition of entry that participants consent to the use of any photos or film containing their image, by media outlets, and/or by the Parkes Elvis Festival and/or by related parties in pursuit of Parkes Elvis Festival objectives. On form submission you will be automatically added to our mailing list. We use our mailing list to communicate with you about the Festival. We will never sell or supply your contact details to third parties. You must complete the payment on this page before your entry is processed. *

Signature *

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