MASQUERADE ENTRY FORM

CATEGORY :	APPRENTICE (under 13)_______ARTISAN_______EXHIBITION_______

Name of Entry     _______________________________________________________________________

Participant Name(s)   _______________________________________________________________________

Mailing address________________________________________________________________

Email address________________________________________________________________

Do you have Limited Vision/Masks? 			Yes______ No_______
Do you have an Oversized/Tall/Wide costume?	Yes______ No_______

Special needs:
Lighting_________________________________________________________
		
Sound____________________________________________________________
		
INTRODUCTION: 
	(To be read by the MC)

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Read introduction complete with name of entry? 	Yes_______	No _______

Do NOT read entry name prior to entrance 		Yes_______	No_______

To participate in the DemiCon 19 Masquerade, you will be required to sign the following waver.  Your signature will be collected at the convention. 
  
Participants in the DemiCon 19 Masquerade understand both still and video photography will be taken at this event.  Videotapes will be made available for sale to DemiCon 19 members only.  Unless the participant expressly prohibits our photographer from using their likeness, they hereby waive all rights associated with their publication and grant the Des Moines Science Fiction Society and/or DemiCon publication rights for editorial and promotional purposes. The undersigned agrees to abide by the DemiCon 19 Masquerade rules and hold harmless DemiCon 19 and the Des Moines Science Fiction Society LTD.

Signed_________________________________________________________________

Date_________________

Please email to: masquerade@demicon.org
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Staff usage ONLY:			Official entry number: ________

Tech notes: 

Entrance:	Dark_____________	Light_____________ Fade______________
	
MC reads:	Before___________	After ____________ During______________

Music starts:	Before________	After ________	During__________

Exit:		Dark ____________	Light_____________ Fade______________

TECH notes: