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GalaxyCon Raleigh Runway Costume Contest Registration
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Full Name: (Please include names of all participants)
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Your answer
Email Address: (Please verify your email address is correct before submitting, or we will not be able to send your contestant number and information)
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Your answer
Phone Number:
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Your answer
Group or Individual: (If you are a group please submit one form per group)
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Group
Individual
Character(s): (The name(s) of the character(s) that your costume is based on)
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Your answer
What series or property does your character(s) come from?
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Emergency Contact Name:
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Emergency Contact Phone Number:
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