Conzilla — Westercon 59 — Masquerade Registration

Entry: ___________________________________________________

(Entry Title/Name)

Information: ______________________________________________

(Contact Person Name & Email Address)

Division

    Young Costumer     Constructor     Presenter
    Novice     Journeyman     Master     Not in Competition

Category

    Original Costume
    Recreation Costume — Source _____________________

Genre

    Fantasy     Science Fiction

Credits

Designed by: ________________________________________________

Constructed by: _____________________________________________

Worn by: ___________________________________________________

Technical information summary: ________________________

Number of People on stage: ___________________________

Estimated Presentation in seconds: _____________________

Dominant costume color: ______________________________

Lighting:     Default     Custom _____________________

Sound:     Default     Custom _____________________

Master of ceremonies:     Default     Custom _____________________

Please fill out form and email to masquerade@conzilla.info or mail to: Sandra Manning, Box 312, Ester, AK 99725