Selena Contest Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastAge *Birth Date *Parent / Guardian Information *FirstLast(Required if participant is under 18)Address *City *State *Zip Code *Phone Number *Preferred Song for Performance *Please provide the exact song you will perform. This helps our DJ prepare your track in advance.Emergency Contact Name *FirstLastRelationship to Participant *Phone Number *Photo & Video Release Agreement *I understand and agree to the photo and video release terms.I understand all contest rules and agree to follow staff instructions.By entering the Selena Look-A-Like Contest, participants agree to be photographed and recorded during the event. The festival and its organizers may use photographs and video recordings of participants for promotional, marketing, and media purposes without compensation. Number 18) Phone Participant Parent/Guardian Signature (if participant is under 18) *Date *Submit