Contestant's Information

English First Name English Last Name
Chinese Name
Gender Age
Height(cm) Weight(kg)
Language
Address
City
Province Postal Code
Day Phone Number Night Phone Number
E-mail
Talent
A recent Photo of contestant (.jpg)
I certify that, to the best of my knowledge, all statements I have made in this Application Form are complete and true and that all records are complete and unaltered. I acknowledge that failure to disclose and provide complete and accurate information may result in the disqualification from the contest.

Nominator's Information

Please have a nominator fill out the following information.
Nominator's First Name Nominator's Last Name
Address
City
Province Postal Code
Day Phone Number Night Phone Number
E-mail
I certify that, to the best of my knowledge, all statements I have made in this Application Form are complete and true and that all records are complete and unaltered. I acknowledge that failure to disclose and provide complete and accurate information may result in the contestant’s immediate disqualification from the contest.

Guardian’s Information

If the contestant is under 19 as of the date of application, please have a legal guardian fill out the following information.
Guardian’s First Name Guardian’s Last Name
Relationship with the Contestant
Residential Address
City
Province Postal Code
Day Phone Number Night Phone Number
E-mail
I certify that, to the best of my knowledge, all statements I have made in this Application Form are complete and true and that all records are complete and unaltered. I acknowledge that failure to disclose and provide complete and accurate information may result in the contestant’s immediate disqualification from the contest.

Payment

Please pay by PayPal. If you do not have a PayPal account, you can pay by credit card but make sure the name and address are that of the credit card holder.

Fairchild Radio shall retain the above personal information for the purpose of coordinating "Sunshine Nation 2013". All information shall be kept confidential and destroyed when "Sunshine Nation 2013" is completed.