Your Name:

Age:       Date of Birth:

Address:

Your E-mail:

Home Phone:       Cell Phone:

School Attending:

Grade, Year and Course of Study:

Work Experience:

Biography (Please write in 3rd person):

Where did you hear about the competition? (Check all that apply):
Word of MouthPoster/AdvertisingSocial MediaWebsiteE-mail

I consent and authorize for MAS to use photographs and video of me or in which I am included for advertising purposes including posting on social media

NOTE: Additional information you feel to be of interest to judges may be written on a separate sheet of
paper and attached to this page.