ALBACON MASQUERADE REGISTRATION FORM

 YOUNG FAN   NOVICE   JOURNEYMAN   MASTER   RE-CREATION 

PLEASE PRINT CLEARLY

COSTUME TITLE										ENTRANT #		
PHONETIC PRONOUNCIATION 											

COSTUME SOURCE																		
NAME(S) OF ENTRANT(S)												

MAILING ADDRESS													

CITY						STATE/PROV.				ZIP/PC									
NAME OF DESIGNER AND/OR MAKER 											 
[LIST ONLY IF DIFFERENT FROM ABOVE ENTRANT(S)]

DOMINANT COLOR OF COSTUME:											
 
GENERAL CATEGORY:	S-F,	FANTASY,	HORROR,	MYTH,		FUNNY	   [Circle One]			
ABOVE WILL ONLY BE USED TO ARRANGE ORDER
	
ADDITIONAL INFORMATION												

 Tape Intro   Typed Intro	SPECIAL INSTRUCTIONS TO M/C							

 
 I/we have read and understood the rules of this Masquerade as set Forth in the instructions sheets and agree to abide by them. Further l/We agree to permit photography and/or video taping and to permit the dissemination of said photographs and/or tapes for non-commercial purposes. Furthermore, I/We do agree to hold the Convention its organizers, and the facility blameless for any accident or injury suffered by me/us during the course of this Masquerade except in cases of gross negligence on the part of those cited above.

Full Legal Signature Or Contestant(s):											
[If Group, All members must sign; if minor, parent/guardian must sign]

FOR JUDGES USE ONLY
Comments

JUDGE 1:	1	2	3	4	5	6	7	8	9	10				

JUDGE 2:	1	2	3	4	5	6	7	8	9	10				

JUDGE 3:	1	2	3	4	5	6	7	8	9	10 				

TOTAL SCORE				

AWARD