CALLIOPE MINI LIVE ENTRY FORM
Please
print this form, fill out completely, and mail with your entry fees and a #10
(legal or business sized) Self Addressed, Stamped Envelope (SASE) for return of
your model registration numbers. Entrants who do not include SASE will NOT
receive registration numbers by mail, but will have to pick them up at the show.
You may also request your numbers by email, or use a region 1 number.
Entry
is limited to 100 models per entrant.
Send
Entries to: Amy Peck, 20014 SE 306th PL, Kent, WA 98042
Make check or Money Order to: Amy Peck
Non-credit card paypal ID is: prtchek@yahoo.com
Name:
Daytime Phone:
Address:
Email:
City:
State:
Zip:
Entry Fee: $25.00 $
$20.00 proxy shower
$
*By
signing this form and attending Calliope Mini Live, I hereby release Calliope
Mini Live and Amy Peck from liability for loss, damage or injury to any person
or property which may occur during the show activities.
Signature:_____________________________________________________________________
(Parent or Guardian if entrant is a minor)
Tables
are first come, first served. If
you have an extra lawn chair, you may bring that with. Lunch is included in the price of the show.