Blind Idol: A Brighter Path Program image
IFB Solutions
Submissions Open: February 13, 2017
Entry Form
Download Entry Form
*First Name: *Last Name:
*Address Line 1: Address Line 2:
*City: *State:
* Zip *Phone:
* Email * Date of Birth:
*Title of song submission: *Original Performer:
Submission method of required material
Required for all entries: Attach a letter from a licensed optometrist or ophthalmologist that states participant is legally blind according to the Social Security Administration definition of legal blindness (best corrected visual acuity of 20/200 or less in the better eye; or a visual field limitation such that the widest diameter of the visual field, in the better eye, subtends an angle no greater than 20 degrees, as measured with a Goldmann III4e or equivalent size stimulus. ).
Upload Song Submission Here:
Upload Letter Stating Legal Blindness Here:
Upon submission to IFB Solutions, all recorded video and audio files become the property of IFB Solutions and will not be returned to entrants in any format. These materials may be used in whole or in part by IFB Solutions at its discretion.
By signing the entry form, you grant IFB Solutions, its representatives and employees the right to take photographs of you and your property in connection with the 2017 Blind Idol Competition. You authorize IFB Solutions, its assigns and transferees to copyright, use and publish the same in print and/or electronically. Additionally, you agree that IFB Solutions may use photographs of you with or without your name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
By signing below, I acknowledge that all information on this form is accurate and attest that my video or audio submission is performed by me. I hereby accept all of the terms and conditions of the 2017 A Brighter Path Blind Idol Competition, found in the competition guidelines and on the competition website. I hereby attest that I fully understand the competition guidelines and submission process.
*Signature: Date:
IFB Solutions| 7730 North Point Drive, Winston-Salem, NC 27106