Registration

Please complete the form below to register.

Fields marked * are required.

Please observe all school, local, and state guidelines for group activities.

If you have any questions, please contact:

Diane Higgins
School Based & Educational Programs Coordinator
973-275-7985
diane@drugfreenj.org

Your Song Your Voice Registration

I am registering for Your Song! Your Voice! as a:*

Solo performer Group/band

Group/band name:*

Group/band name:*

Contact First Name:*

Contact of Band/Group's First Name:*

Contact Last Name:*

Contact of Band/Group's Last Name:*

Email address:*

Contact of Band/Group's email address:*

Address:*

Contact of Band/Group's Address:*

Address 2:

Contact of Band/Group's Address 2:

City:*

Contact of Band/Group's City:*

State:*

Contact of Band/Group's State:*

Zip:*

Contact of Band/Group's Zip:*

County:*

Contact of Band/Group's County:*

Phone:*

Contact of Band/Group's Phone Number:*

Date of birth :*

(if over the age of 18, must submit proof—birth certificate, driver's license, etc.)

Contact of Band/Group's Date of birth:*

(if over the age of 18, must submit proof—birth certificate, driver's license, etc.)

Preferred pronoun:

he, she, them, they, etc.

Preferred pronoun for band members:

he, she, them, they, etc.

Preferred pronoun:

he, she, them, they, etc.

Preferred pronoun for band members:

he, she, them, they, etc.

Bio:*

(please enter a brief bio for yourself or band - will be used for website and concert intro)

Bio:*

(please enter a brief bio for yourself or band - will be used for website and concert intro)

Name of school you attend:*

Name of school contact attends:*

What grade are you in?*

What grade are you in?*

School city:*

School city:*

School state:*

School state:*

Rules:*

I understand that Your Song! Your Voice!™ Shout Down Drugs NJ® is a statewide substance use prevention initiative of the Partnership for a Drug-Free New Jersey (PDFNJ). I will abide by all school, local, state, and federal guidelines as they pertain to the COVID pandemic. I have read, fully understand and agree to the Your Song! Your Voice!™ Shout Down Drugs NJ® Contest Rules, the Rules of Conduct and Social Media, outlined below, and the Copyright License, Copyright Assignment & Talent Release. The music and lyrics I have submitted are completely original and are written by myself (or a member of my group) with no copyright infringement violations. If chosen as a finalist, I agree to participate in the Statewide Virtual Prevention Concert. I also agree that if I am chosen as a winner, I will work with PDFNJ to meet the terms of the prize I am awarded, as listed in the Contest Rules and the Copyright License, Copyright Assignment & Talent Release. I am a resident of New Jersey and a high school student (in Grade 9 – 12), in good standing with my school. If I am under the age of 18, my Parent or Legal Guardian is submitting this form on my behalf.

Rules:*

I understand that Your Song! Your Voice!™ Shout Down Drugs NJ® is a statewide substance use prevention initiative of the Partnership for a Drug-Free New Jersey (PDFNJ). I will abide by all school, local, state, and federal guidelines as they pertain to the COVID pandemic. I have read, fully understand and agree to the Your Song! Your Voice!™ Shout Down Drugs NJ® Contest Rules, the Rules of Conduct and Social Media, outlined below, and the Copyright License, Copyright Assignment & Talent Release. The music and lyrics I have submitted are completely original and are written by myself (or a member of my group) with no copyright infringement violations. If chosen as a finalist, I agree to participate in the Statewide Virtual Prevention Concert. I also agree that if I am chosen as a winner, I will work with PDFNJ to meet the terms of the prize I am awarded, as listed in the Contest Rules and the Copyright License, Copyright Assignment & Talent Release. I am a resident of New Jersey and a high school student (in Grade 9 – 12), in good standing with my school. If I am under the age of 18, my Parent or Legal Guardian is submitting this form on my behalf.

I agree (I have read and understand the Rules as described in question #1)

I do not agree

Social media:*

Partnership for a Drug-Free New Jersey asks any contestant who wishes to participate in Your Song! Your Voice!™ Shout Down Drugs NJ®, who may have internet postings, social media or website pages, including but not limited to, Facebook, Twitter, Instagram, YouTube, TikTok, etc., that contain a message that could be construed as promoting or suggesting the use of drugs and/or alcohol, to remove these postings immediately in order to participate in the Your Song! Your Voice!™ Shout Down Drugs NJ® initiative. If this rule is not adhered to by any participant at any time, their entry, or subsequent winnings, will be disqualified. For groups, there is no substitution permitted for any group member who does not adhere to these rules, but the remaining group members may remain in the contest if they choose to do so. This agreement remains in effect for all winners of the music competition.

Social media:*

Partnership for a Drug-Free New Jersey asks any contestant who wishes to participate in Your Song! Your Voice!™ Shout Down Drugs NJ®, who may have internet postings, social media or website pages, including but not limited to, Facebook, Twitter, Instagram, YouTube, TikTok, etc., that contain a message that could be construed as promoting or suggesting the use of drugs and/or alcohol, to remove these postings immediately in order to participate in the Your Song! Your Voice!™ Shout Down Drugs NJ® initiative. If this rule is not adhered to by any participant at any time, their entry, or subsequent winnings, will be disqualified. For groups, there is no substitution permitted for any group member who does not adhere to these rules, but the remaining group members may remain in the contest if they choose to do so. This agreement remains in effect for all winners of the music competition.

I agree (I have read and understand the Rules of Conduct as described in question #2)

I do not agree

Please enter today's date:*

Please enter today's date:*

The title of my song is:*

Title of song:*

Please enter your full name (first, middle, and last):*

As the contestant (individual or a member of a group), I certify I have read and comprehend the Copyright License, Copyright Assignment & Talent Release

Please enter your full name (first, middle, and last):*

As the contestant (individual or a member of a group), I certify I have read and comprehend the Copyright License, Copyright Assignment & Talent Release

Age verification:*

Age verification:*

I am 18 years of age or older and have the legal authority to submit the Copyright License, Copyright Assignment & Talent Release. (Proof of age will be required).

My child, the “Contestant” is under the age of 18. As their parent/legal guardian I hereby agree to the terms of the Your Song! Your Voice!™ Shout Down Drugs NJ Copyright License, Assignment Talent Release:

PSA: Meth Lab

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Contact Us

Diane Higgins, Program Coordinator
diane@drugfreenj.org
(P) 973.275.7985
(Fax) 973.467.2188

The Partnership for a Drug-Free New Jersey

History of the Event

Formerly known as New Jersey Shout Down Drugs since 2005, Your Song! Your Voice! Shout Down Drugs New Jersey has been rebranded with a new name that fully encompasses what the competition is all about – challenging teens to create peer-to-peer original music, songs and lyrics in their own original style, whether it be hip-hop, rock, folk or any other genre. Each year the contestants’ songs are featured on ShoutDownDrugs.com. The online voting periods allow the public to listen to and vote for their favorite songs. To date, more than one million votes have been cast since the online voting feature began in 2010. The contest finalists participate in the Annual Prevention Concert during which the first, second and third place winners are chosen by a panel of judges to receive contracts worth $5,000, 3,000 and $2,000 respectively to perform their award-winning songs at events throughout the year.

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Partnership for Drug Free New Jersey

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