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GalaxyCon Richmond Late Night "Heroes & Villains" Costume Contest Registration
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Full Name: (Please include names of all participants)
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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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Phone Number:
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Group or Individual: (If you are in a group, please submit one form per group)
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Character(s): (The name(s) of the character(s) that your costume is based on)
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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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By checking this box you are verifying that you are 18 years of age or older
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