Please Fill In All Fields. 請輸入所有欄位資料。
  First Name:  Last Name:   
 
  中文名:   
     
  性別 Gender :   Male 男     Female 女  
     
  生日 Birthday :  // 年齡 Age :   
     
  聯絡地址 Address :   
     
  城市 City :  州別 State :   
 
  區域碼 Zip Code :       
     
  家裡電話 Telephone :  手機 Cell Phone :   
 
  電子郵件 Email :  臉書帳號 Facebook Username :   
   
           
  試唱會 Audition for :  6/09/12 Sat. San Francisco - Genius Center  
 
6/16/12 Sat. Los Angeles - South Coast Plaza
6/23/12 Sat. Los Angeles - ETTV America Studio
6/30/12 Sat. New York - Flushing Mall
Online Submission by 6/30/12		  
 
Insert your YouTube video link below (Online Submission only):

(Please fill out separate forms for each audition)
(只能勾選一場試唱會，如果參加一場以上，請分開填寫)		  
           
           
  目前有無任何經紀約? 若有，請留下經紀人連絡電話   No  
  Do you currently own a contract with any agency?   Yes  
  Agency Name:  Contact Number:  
   
    我同意新人王合作之經紀公司，在一年之內有經紀及唱片合約優先簽約權  
      I hereby acknowledge that the agency partnering with TOP IDOL has the contract priority with me within one year after the contest.  
       
    我已經閱讀及同意新人王授權書。  
      I have read and agreed the Event Waiver of TOP IDOL contest.  
       
    我已經閱讀及同意新人王條款跟規則。  
      I have read and agree all the Rules and Regulations of TOP IDOL contest.  
       
           
 
    報名截止日期： 6/30/2012
Application deadline: June 30th, 2012.