COMPETITION ENTRY FORM.pdf

COMPETITION ENTRY FORM Australia’s Premier Body Art Competition Over $12,000 in Prizes First Name: …..……………………………………………... Surname: …………………………………..………….......................... Address: …………………………………………………………………………………. Suburb: …………………………………………………..... State: ................................. Postcode: ......…………… Telephone: ……………..…………………………………......... Mobile: …………..………………………………………. Email: ...……………………………………………………………………………………… Category Fees Total ? Weekend Pass includes entry to Masked Gallery Walk ($45 value) on Friday night and one competition each day, please tick which competitions: Sat - ? Brush Sponge ^ ? Airbrush ^ Sun - ? Special Effects ^ ? Face Painting ? Pavement Art $120.00 ? Body Art – Brush Sponge^ $80.00 ? Body Art – Airbrush^ $80.00 ? Body Art – Special Effects^ $80.00 ? Snazaroo Face Painting $30.00 ? Wearable Art $60.00 ? Photography includes entry to Masked Gallery Walk on Friday night, access to photographer only areas throughout event, and entry to both categories. Please attach passport sized photograph and indicate categories intending to enter: ? Photo print ? Digital art $85.00 ? Pavement Art $30.00 ? Wicked Camper Show Shine $15.00 ? Wicked Camper Vehicle Art - please complete and attach Vehicle Template Form Free ^ Includes lunch and refreshments during competition Subtotal Masked Gallery Walk (includes food and drinks) on Friday night (please indicate number of tickets - ..................) $45.00 TOTAL Models ? Require model – no guarantee re gender, size or age of models supplied by the Carnivale ? Own model (must be over 18 years of age) – please attach completed model registration form Entrant’s Signature: I agree to the terms and conditions. ................................................................................. Parent/ Guardian Signature (only required if competitor is under 18 years): ………………………………….......................... Please make cheque payable to Eumundi and District Hist