Virasat | Entry Form

Details of any earlier Dance /Folk dance Performance or Participation

(If space is insufficient, attach an additional sheet)

S No.

Name of Event

Year

Position/Rank

Remarks

DECLARATION

I hereby, declare that I am a Punjabi Canadian and I have no objection for the release of my photographs / videos for media use. If selected for the grand finale, I will fulfil all formalities as per the requirements of the organization. I have read all the rules and regulations of this pageant competition carefully and undertake to abide by the same. Also if I become winner, I hereby confirm that I will make myself available to take part in all future activities of the organization on voluntarily basis and will serve as an ambassador of this organization. I will take part in outside cultural activities of the other organizations only with the prior and written consent of the organization till the next pageant competition.

Date

Place

FULL SIGNATURE OF THE Participants / Parents

VERIFICATION

I, verify that the contents of my above statement are true and nothing has been concealed therein.

Place

FULL SIGNATURE OF THE Participants / Parents

RECOMMENDATIONS OF PARENTS/GUARDIAN

We have no objection for our Daughter’s/Son’s participation in Canadian Punjabi Champs Pageant and agree to abide by the terms and conditions of the Pageant.

Place

FULL SIGNATURE OF THE Participants / Parents

Entery form

CANADIAN PUNJABI CHAMPS

Presented by

Virasat Punjabi Elite Art & Cultural Education Organization, Torontos

For Office Use

TO BE FILLED BY THE Participants (USE CAPITAL LETTERS ONLY)

ADDRESS(Residential / Postal)

INSTITUTION(where studying)

Details of any earlier Dance /Folk dance Performance or Participation

(If space is insufficient, attach an additional sheet)

DECLARATION

VERIFICATION

RECOMMENDATIONS OF PARENTS/GUARDIAN

ENTRY FORMS COMPLETED IN ALL RESPECT MAY PLEASE BE SENT TO:

(Bring one hard copy with you on the day of Audition)

Virasat PEACE Organization

Phone: 416-500-9331