| Anime North model contest registration form (please print or type all information) Claim number ______________ (for use by Anime North Staff please do not write here) Entrants Name:_____________________________________________________________ Address: __________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Phone number (______) _____________________ E-mail address: _____________________________________ Model title: _________________________________________ Entry category (this is based on the complexity of the model NOT the age of the entrant) [ ] Beginner [ ] Intermediate [ ] Advanced [ ] Professional TYPE OF MODEL [ ] Mecha [ ] non-mecha TERMS & CONDITIONS OF ENTRY 1) I the undersigned do hereby release the Anime North convention, their staff & any designated representatives from any liability resulting from loss or damages to my model or models however caused. 2) Further I give full consent to having photographs & or videos taken of my entry 3) I understand that I must pick up my entry before Sunday at 3pm (when the room will close) SIGNED _______________________________ PARENT OR GUARDIAN (IF NECESSARY) _______________________________________________________ ========================================================== Claim number __________________ (for use by Anime North staff please do not write here) ========================================================== |
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