Masquerade Registration
Name _____________________ Membership
# _____
Address _____________________________________
City ___________ State ____________ Zip _________
Costume Name _______________________________
Description __________________________________
Number of people on stage in presentation __________
Name(s) of Additional persons:
____________________________________________
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Division: Novice __ Journeyman __ Master __
Young Fan (self made) __ Young Fan (Adult Made)__
Non Competing __
Category : SF __ Fantasy __ Historical __
Recreation __
(Documentation should be handed in with registration)
Source: ______________________________________
Designed by: __________________________________
Constructed by: ________________________________
Worn by: _____________________________________
Describe any large Props: _________________________
_____________________________________________
Will you be bringing any stage helpers: Y __ N __
If yes how many with names: _____________________
_____________________________________________
Primary Colors (check all which apply): Black __ White __
Silver __ Gold __ Flesh __ Red __ Orange __ Yellow __
Green __ Blue __ Violet __ Purple __ Brown __ Reflective __
Other __________
General Category (check all which apply): SF __ Fantasy __
Horror __ Myth __ Humorous __ Original __ Alien __
Movie/TV __ Comics __
Will you want to be judged for Workmanship? Y __ N __
Liability Release
(ALL participants MUST read AND Sign to go on stage. A parent or guardian
must sign for a minor.)
I/We have read and understood the rules of this masquerade as set forth
in the instructions, and agree to abide by them. Further, I/we agree
to permit photography and videotaping, and to allow the sale/dissemination
of these photos and tapes by Westercon 53. Further, I/we do agree to
hold the convention, its organizers, and the facility both severally
and individually blameless for any accident and/or injury suffered by
me/us during the course of this Masquerade and its rehearsals except
in cases of gross negligence on the part of those cited above.
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Please put your membership number after your name. Use additional pages as necessary.
Mail this form to the address below or hand it in at the convention:
John and Chris O'Halloran
36024 Cabrillo Drive
Fremont, CA 94536
Mailed entries need to be in our hands no later then Tuesday, June
29, 2000,
as we depart for Honolulu on Wednesday morning.
Entry forms will be accepted at the Con untill the beginning of the
Technical Run Throughs.
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