BAND NAME_________________________________________________________________

CONTACT NAME_________________________________________________________________

CONTACT ADDRESS______________________________________________________________

CITY/STATE/ZIP_________________________________________________________

PHONE-DAY_______________________________________NIGHT______________________

BEST TIME TO CALL____________________EMAIL________________________________________

Entries must be postmarked no later than October 8, 2016. Mail Entries to:

Decatur Blues Society - P.O. Box 386 - Decatur IL - 62522                                                                                                                                              

Entrants accept full responsibility for all taxes and restrictions in relation to contest prizes. Entrants grant permission to Decatur Blues Society for use of photos, CDs and DVDs for promotional purposes only. CDs, DVDs, and photos will not be returned.

ALL DECISIONS OF THE JUDGES ARE FINAL

Please list all band members and their instruments*

* Note: Minimum substitution will be allowed
.                                                                                                
* Note: For this purpose, vocals will be considered an instrument.
_____________________________________________________________________          _____________________________________________________________________    _____________________________________________________________________          _____________________________________________________________________  _____________________________________________________________________          _____________________________________________________________________  _____________________________________________________________________          _____________________________________________________________________  _____________________________________________________________________          _____________________________________________________________________
We, (BandName)_____________________________________________
  agree to perform at all of the dates for which we qualify

Signature_________________________________________________________