Division: Novice ___ Journeyman ___ Master ___ Entry No. _____
Junior Costumer (under 13) Self made ___ Adult made ___
Category - Original: ____ Recreation: ____ Dominant Color: __________________________________
Title of Costume: _______________________________________________________________________
Costume Source: _______________________________________________________________________
Name(s) of entrants: _____________________________________________________________________
______________________________________________________________________________________
In Competition: Yes ___ No ___
Designed by: __________________________________________________________________________
Made by (enter names of all who worked on the entry): _________________________________________
_____________________________________________________________________________________
Music (Y/N): ____ Tape: ___ CD: ___track ___
Narration (Y/N): ____ If provided, please attach to this form
Special Instructions for the MC: ____________________________________________________________
______________________________________________________________________________________
Tech (check one) Default: ___ Special Cues: ___
Liability Release
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/or video taping and agree to permit the use
and/or dissemination of said photographs and/or videotapes. 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 except in cases of gross negligence on the part of
those cited above.
Full legal signature of all entrants. If minor, parent or guardian must sign.
_____________________________________ _________________________________________
_____________________________________ _________________________________________
ENTRY FORM, PDF VERSION (25.4 kB)
Copyright 2004, Loscon 31, Jess Miller
