Name *

First Name

Last Name

Participant's Date of Birth *

MM

DD

YYYY

Phone # *

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###

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Which division are you registering for? *

Showcase

Is your costume Large and/or Bulky? *

Yes

No

Check the box to confirm you have not won any Master-Level award with this cosplay before *

Falsifying this information will result in disqualification without notification

I confirm I have not won any Master-Level award with this cosplay before