GalaxyCon Raleigh Costume Competition Registration
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Full Name: (Please include the names of all participants) *
Preferred Name: (Name you would like to be called on stage and by the judges. This can also be your cosplay handle.)
Email Address: (Please verify this is correct before submitting or we will not be able to send you important information)
*
Phone Number: *
Group or Individual: *
Competition Skill Division:   *

Which category are you entering?: (Please note: If you are entering as Uncertified, the creator of the costume must be with you or must be available to speak to the judges via Zoom/Google Hangouts/FaceTime during pre-judging.)

*
Character(s) your costume is based on: *
Series/property your character(s) belongs to:   *

How did you construct your costume? Include any details you’d like the judges to know:

*

I understand that I will need to bring reference pictures of my character to pre-judging.

*
Required

I understand that I will need to bring progress pictures and anything else that helps convey my creative process to pre-judging.

*
Required
Emergency Contact Name (Preferably someone not at the convention with you):   *
Emergency Contact Phone Number (Preferably someone not at the convention with you): *
Additional Notes / Comments:
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