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The Pirates of St. Marys 2008
Registration
Name:
_____________________________ Male: ________Female: _________
Female 1-5 ________ 6-12 ________ 13-17 ________18-up
________
Date of Birth:_______________
Address:_______________________________
City:______________ State:______________ Zip Code:
___________________
Phone: _____________________ E-Mail:
______________________________
Are
you wearing Pirate Garb? Yes: __________ No: _________
Are
you entering the contest? Yes: __________ No:__________
Would you like to be on our E-Mail List? Yes: ________ No:
________.
Are
you interested in attending some of our other events such as:
The
Bunny Trail: Yes________ No________ Easter Parade Yes ______No____
A
Christmas Wonderland Yes_____ No_____ Sleigh Ride Yes _____ No
______
Indiana Jones Adventure Yes_____ No _____ Star Wars
Yes_____ No _______
Have you ever been to our web site ?
www.downtownstmarysohio.com Yes __ No__
_______________________________________________________________
Only fill out if you are entering the Pirates Contest:
Is
your costume home made? Yes ____ No ____
Are
you a Famous Pirate? If Yes - Which one ? __________________________
Are
you going to Act ______ Sing ______ Talk ______ Pose ______Skit
______
Dance _______ Magic _______Other/Explain
___________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Keep in mind you will only have 3 – 5 minutes. All swords
need to be safely
Handled at all times. Any recluses action will be an
automatic disqualification.
Do
not point or touch anyone with a weapon (fake or not).
By
entering our competition you are agreeing to allow us to take
pictures and
possibly use them on our future ads for this event or on our
web site.
Good sports men ship is a must. We are all here to have fun.
No
profanity allowed.
If
under 18 parental consent is needed.
Yes
I agree with the terms, Name _________________________ Date________
If
under 18 parental consent: Parent _______________________ Date
_______
Contact information: Ohio Promotions – Emery Rogers –
419-953-6377
If
you would like to help this event grow next year please give us a
call.
Thank you for your participation. |