banner
banner
banner
banner
banner
banner
banner
banner

 

REGISTRATION

NOTE: You MUST include AT LEAST one CURRENT head shot and one CURRENT full body shot to be considered.

 

Rules and Regulations:

  • Contestants must be at least 18 years of age.
  • Signature on this form is to be used as a photo release.
  • Registrants may not perform any act of indecency such as revealing or exposing any “private parts.”
  • We do support having a fun and wild time, but ask that everyone in the competition keep it clean.

 

Entry into this contest gives Malkan Interactive Communications (Rock 92/7), and its partners absolute and irrevocable rights and permission

to use any photos,video, audio or any other media of the event, and the use of your name for marketing and advertising in any form
available now or in the future. Entrants agree to release and hold harmless Malkan Interactive Communication, its
owners and officers and any vendors, sponsors or associated organizations from any and all liabilities and claims
arising from participating in the event.

 


*All fields are required.

  Images can be up to 20MB in size.

  Images can be up to 20MB in size.

  Images can be up to 20MB in size.

  Images can be up to 20MB in size.

 

SPAM Protection:
Please check mark I'm not a robot in this box:
 

Privacy Notice

Your registration information is for the use of KKBA-FM only. We collect information in order to keep you informed of contests and events sponsored or promoted by KKBA-FM. KKBA-FM will not sell, rent or in any way distribute personal information supplied to us by you. The information you provide us stays with KKBA-FM only.

On Air Now
6:00pm - 6:00pm

Request Line:
361-560-5927
Copyright © 2015, Malkan Interactive.
Built on Envisionwise Technology.
Administrator Login