MediaWest*Con Masquerade Entry Form

Please Read Carefully

Category (pick one)

___ Original Idea

___ Re-Creation, TV/Film

___ Re-Creation, Literature

___ Humorous/Cheap

___ Young Fans

___ Other (please specify, if possible) ______________

Have you entered a masquerade before ? ___ Yes ___ No

NAME OF PRESENTATION: ____________________________________________________________________

Name(s) of Entrant(s): __________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Designed By:: _________________________________________________________________________________

Made By: ____________________________________________________________________________________

Source (if any): _______________________________________________________________________________

Name Of Main Entrant: __________________________________________________________________________

Address: _____________________________________________________________________________________

Telephone/E-Mail: ______________________________________________________________________________

Please put ALL narration and additional costume remarks (other than those asked for in the Designed By, Made By, and Source fields) on SEPARATE 3x5 index cards. Attach the index cards to this form and bring the whole schmear to the Saturday meeting, or place them in the form boxes. If you have special needs (lighting sequence, cues, etc. ) WRITE 'EM DOWN and bring them to the Saturday meeting. We'll do our best to accommodate you.

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