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Application

Online registration for Miss Gay Great Lakes USofA 2008.

Please fill out ALL entries and signify "yes" that you have read and agree to the rules and regulations or the submission will not complete.

Legal Name:
 
Stage Name:
 
Email:
 
Street Address:
 
City/State/Zip:
 
Telephone:
 
 
   
Tell Us About Your Talent:
 
Back-up Dancers:
 
Number of Dancers:
 
Will You Have Props?
 
Need a Live Microphone?
 
Need  Electricity on Stage?
 
   
Comments or Specific Needs for Talent:

 

 
 
   
Gown Designed By:
 
Hair Designed By:
 
Make-Up By:
 
Jewelry By:
 
Backstage Dresser Name:
 
 
   
Sponsors Include:
 
 
   
Special Thanks To:
 
 
   
Please Read and Indicate That You HAVE Read and Understand:

Release:

By submitting this application, I hereby agree to release and hold harmless USA Pageantry and the Official Miss Gay USofA pageant, hereby referred to as the “Pageant”, their agents, servants, and employees, from any liabilities and/or responsibilities whatsoever from associated with or arising out of my participation in the Pageant and/or the Title of Miss Gay USofA, including, but not limited to, personal injury or damage to personal property regardless of whether the loss occurred before, during, or after the pageant or any related act.

 I also hereby release myself from rights to any video taping (sound and/or video), photography, still camera, or motion picture of the pageant.  I understand that I have no rights to any of the recordings that I appear in/on or the future sales thereof.  I hereby agree that my name and any photographs taken of me during the Pageant may be used for publication for promotional purposes or in any advertising publicity.  By my agreement below, I affirm and attest that I have read the Rules and Regulations of the Pageant and hereby agree to abide by the same.

 

By Selecting "Yes" I signify that I agree to all terms and conditions outlined in the above statement.

   


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