USofA pageants
Miss Gay USofA pageant
 

contestant info

 

Name (Stage)
Name (Legal)

Address
City State Zip  
Telephone Age D.O.B.  
Email Address   (mm/dd/yyyy)
MySpace Page http://www.MySpace.com/    
Qualifying Pageant   Winner Alternate
Sponsors
Talent    Props   Dancers  
LiveDancing
Lip SinkOther
  Yes
No  
Yes No  
Musical Selection

 
Name of Backstage Asst
By my signature below, I hereby agree to release and hold harmless USofA Pageants and the Official Miss Gay USofA pageant, hereafter referred to as the "Contest", their agents, servants, and employees, from any liabilities and/or responsibilities whatsoever from associated with, or arising out of my participation in the Contest 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.

 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 Contest 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.

 

 

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