Hello,

This form is in RTF format and intended to be saved and filled out on a computer, then either printed out and post mailed or emailed to Masquerade at westercon66.org 

Please keep the form in RTF format.  Please do not change the font sizes or styles.

When asked to select an item, color, etc. just delete all those that do not apply.

Entry numbers will be assigned at the convention and you will be told your entry number when you check into the Green Room before the Masquerade.

Happy costuming,

Kathe & Phil Gust
Masquerade directors

Additional information for filling out the MC Information

Your presentation number, division, and judging category will be read at the start of your presentation.   All other information will be read at the end of your presentation.

Required information: Name of the presentation, the judging category, who designed, made and/or modeled the costume(s).

If the same people designed, made, and modeled the costumes(s), please use “Created and Modeled By” rather than just repeating the information multiple times.

Optional information: If you have a recreation costume, please list your source.  
		       Add any script that you want the MC to read while you perform.

Please use PHONETIC spelling for all information that is unusual.   Don’t assume the MC knows your context.  (Ex.    Theoden (THAY-o-den), King of Rohan.)

If you are printing this out and intend to hand it in at convention; for the MC Script PLEASE use black 16 pt Arial font, 1” margins, double spaced, on 8 ½” by 11” single sided white paper.
MC needs to be able to read it under trying conditions, BIG print helps tremendously.
Please fill out ALL sheets!  Yes, it’s long, but we DO need all of it. One per presentation, signed by everyone who will be backstage.  Please.  Thank you!
Cover sheet

Presentation Name: 

Name (main contact person): 

Address: 
City: 
State: 
Zip: 
Country (if not USA): 

Phone Number: 

Email Address: 

Number of people in stage presentation: 

Division: (select one, delete others) Novice, Open, Exhibition Only, Young Fan 

General Mood: (select one, delete others) Beautiful, Dramatic, Humorous, Horror, Cat walk, Other – explain

Major Color: (delete non-applicable colors) Black, Gray, Brown, Red, Orange, Yellow, Green, Blue, Purple, Silver, Gold, Glitzy

Do you have helpers/ninjas for backstage or out front?  How many?

Additional notes for the Director:    
     
Entry Number: 

(Select one, delete others) Novice, Open, Exhibition, Young Fan 
Presentation Name: 

To be read after the presentation -  
	Designed by: 
	Made by: 
	Modeled by:
OR Created and Modeled by:
(Optional - if reproduction) Source: 
(Optional) MC script to read while performing: 

Tech Information - Sound

Entry Number: 

Presentation Name: 

Do you have a sound track? 

What type of media is it on? 

When do you want it to start playing? 

Other requests: (ex. Fade sound as I fall to the ground)

Tech Information - Lighting

Entry Number:

Presentation Name: 

General Mood: (select one, delete others) Beautiful, Dramatic, Humorous, Horror, Walk-on, Other – explain 

Major Color: (delete non-applicable colors) Black, Gray, Brown, Red, Orange, Yellow, Green, Blue, Purple, Silver, Gold, Glitz 

Special lighting requests (ex: Follow spot on King Henry always): 

Westercon Liability Release – Sign when you register. Electronic Signatures will not be accepted.
Presentation Name: 

(ALL participants MUST read, fill in their contact information, SIGN, and DATE the Liability Release before going on stage. A parent or guardian must sign for minors.  Please print as many as needed so all the Participants can sign this.)

Participant’s Agreement
I have read and understand the rules of this competition. I agree to abide by those rules, the rulings of the competition directors and the decisions of the judges. 
Liability Release
As a condition of participating in the Westercon Masquerade, each participant releases all claims and holds harmless the Releases (defined below) from any and all liabilities, damages, expenses, cost, claims and causes of action that the participant may have or claim to have now or in the future against San Francisco Science Fiction Conventions, Inc. (SFSFC), its officers, directors, committee members, representatives, affiliates and volunteers (the “Releases”) arising from or connected with the presenter’s participation in this event. 
Media Release
As a condition of participating in the Westercon Masquerade Competition, I hereby grant SFSFC and its legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographic, video, audio or other media recordings of me, or in which I may be included, for editorial trade, advertising and any other purpose and in any manner and medium; and to alter the same without restriction. I hereby release SFSFC, its agents, legal representatives and assigns from all claims and liability relating to said use or publication

Name:					Badge number: 
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Signature: ____________________________________________

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