Give a request on participating in the competition

To fill all fields necessarily. If you will skip something, questionnaire accepted will not be.
Personal information is needed for authentication of participants in the case of reaching the final and winnings prize. Personal information in questionnaires published and used for other aims will not be. Confidentiality is guaranteed.
* Nomination:
* Name:
* Surname:
* Stage name:
* Sex:
Male   Female
* Date of birth:
* Country:
* City:
* Email:
* Telephone number:
* A few words about yourself in free style: interests, fascinations, talents…:
* Work place:
* Education:
* Experience of appearances (competitions, concerts, other measures):
* My other creation (lyric poetry and other):
* Photo (maks. size 10mb):
* I familiarized with the rules of competition and accept them.
Read the rules
If you want administration of competition edited Your picture (to cut superfluous, to edit a colour gamut), tick off here.