| APPLICATION FOR MISS GAY PRIDE 2004 | |
| Legal Name: | _______________________________________ |
| Stage Name: | _______________________________________ |
| Address: | _______________________________________ |
| City | _______________________________________ |
| State: | _______________________________________ |
| ZIP: | _______________________________________ |
| Titles (Prev or Current): | _______________________________________ _______________________________________ |
| Sponsors: | _______________________________________ |
| Title Of Number: | _______________________________________ |
| Persons In Act: | (Number)_______________________________ |
| Props Used: | Yes No |
|
I do hereby release APB Productions,
Backstreet Memphis and it’s employee’s from any liability whatsoever resulting from, associated with, and arising out of my participation in the Miss Gay Pride Pageant, including but not limited to personal property regardless of whether the loss or injury occurs before, during, or after the pageant or any related activities. I hereby agree that my name or any photographs, recordings, taken during the pageant may be used for publication or promotional purposes or in any advertised publicity. By my signature below, I agree that I have read the rules and regulations and will abide By the same. |
|
|
________________________________ ________________________________ |
|
|
Entry fee of $100.00 is due no later than Midnight May 30th.
Print, complete, and bring application and fee to Byron @ Backstreet during business hours. For more information, call Byron at 901-359-1190. |
|