GalaxyCon Raleigh Masquerade Competition Registration
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Full Name: (Please include names of all participants) *
Preferred Name: (Name you would like to be called on stage, can be a cosplay name)
Email Address: (Please verify your email address is correct before submitting, or we will not be able to send your contestant number and information) *
Phone Number: *
Group or Individual: (If you are in a group, please submit one form per group). *
Character(s): (The name(s) of the character(s) that your costume is based on)
What series or property does you character(s) come from? *
Tell us about your costume and performance: (Include any construction details you'd like us to know about) *
How would you like the emcee to introduce you or your group on stage?
Audio will be e-mailed to cosplay@superconventions.com by 3pm ET on July 31st *
Emergency Contact Name: *
Someone who is not at the convention with you
Emergency Contact Phone Number: *
Someone who is not at the convention with you
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