Organizer: Best Bridge Services SRL in partnership with Câmpina City Hall, Municipal House of Culture “Geo Bogza”, Municipal Library ”Dr. C. I. Istrati” Câmpina, Câmpina Philharmonic Society, Câmpina National Center for Tourist Information and Promotion, Câmpina National College ”Nicolae Grigorescu”, Câmpina Children’s Club, “Matei Basarab” Brebu School, Sector 1 Bucharest Children’s Club

To be completed for minor soloists or members of ensembles.

          The undersigned ___________________________________________, representative of the juvenile ___________________________________________________ as his/her ______________________________________, I hereby confirm that I agree that he/she participate in the Christmas Carols and Religious Masterpieces Contest of the Festival 4 Arts.

I agree that the video recording of the juvenile ____________________________________ sent for the contest to be used by the organizers only for non-commercial purposes and only for the purpose of promoting the event and the image of the Festival 4 Arts, Câmpina.

I mention that I have read and signed Annex 2 – PUBLICATION AGREEMENT and have taken note of all the conditions described in Annex 1 and in the Rules & Regulations of the competition.              

     Date                                                                                                    Signature