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Print out application; then Bring, Fax or Mail.
PageantKnowledge.Biz
Workshop Registration
WORKSHOP DATE: _______________
Name:_________________________________________________________
Address:______________________________________________________
City/ST/Zip:__________________________________________________
Phone:________________________E-mail__________________________
Age Group: 10-12 13-15 16-18
Shirt Size: A-small A-medium A-large A-xlarge
(circle size) Special Participant Cost: $6.50
I am bringing a Friend________________________________________
FRIEND 2 FRIEND CREDITS
Receive Door Prize Credits for you and each friend that you recruit to
become a participant.
Community Involvement:
Donate a “like-new” condition: Stuffed Animal, Book or a
Non-perishable Food Item and receive a Community Service
Certificate and up to 5 extra free drawing chances.
Bring:
Positive attitude, nutritional lunch/snack, notebook, pen or
pencil, &/or Sportswear clothing.
For the Mock-up Presentation: Sunday style dress.
We reserve the right to call the guardians of &/or remove an applicant for any
behavior deemed inappropriate by the staff of PageantKnowledge.Biz.
Authorization and Release
In consideration of being accepted as a participant in this workshop, the applicant
and/or parents/guardians of the participant, individually named on this form, do
hereby release PageantKnowledge.Biz, CP&G Services LLC, its staff, directors,
instructors, subsidiaries, parent companies, assigns, employees, affiliates,
licensees and servants, from any and all claims and damages directly or indirectly
resulting from named participant participating in these workshop events; and I/we
give permission to PageantKnowledge.Biz, CP&G Services LLC to use the participants
photographs, speeches, testimonials, videos, etc., for publicity I/we hereby give
PageantKnowledge.Biz, CP&G Services LLC and licensees thereof the absolute right
and permission to copyright and/or publish or use photographic portraits, pictures
or videos of participant or in which participant may be included in whole or in
part or composite or distorted in character or reproductions thereof in color or
otherwise made through any media at any PageantKnowledge.Biz workshops or
elsewhere for art, advertising, trade, or any other lawful purpose whatsoever,
also to use participant name and photographs/film for all media, commercial film,
television, video taping or promotional purposes at no compensation to participant.
I/we hereby waive participants right that I/we may have to inspect and/or approve
the finished product of the advertising copy that may be connection therewith or
the use to which it may be applied. I/we hereby release and discharge and agree
to save PageantKnowledge.Biz, CP&G Services LLC and all subsidiaries, affiliates
and licensees thereof, and their employees and representatives harmless from any
liability by virtue of any blurring, distortion, alteration, optical illusion,
or use in composite form whether intentional or otherwise that may occur or be
produced in the taking of said pictures or in any processing tending toward the
completion of the finished product. I/we hereby release PageantKnowledge.Biz,
CP&G Services LLC, and all subsidiaries, affiliates, and licensees thereof,
from all claims, demands, liabilities, and obligations whatsoever arising out
of the use of such portraits or pictures by PageantKnowledge.Biz,
CP&G Services LLC and subsidiaries, affiliates and licensees thereof.
Signed:________________________ Signed:__________________________
Applicant Parent/Guardian
Date:___________ Date:____________
CLASS FEE is $95 for one full day of instruction.
PAYMENT: A non-refundable $15 registration fee must accompany
application, which is applied to total class cost.
Complete payment by workshop date is required for participation.
A full payment with a signed application earns an additional FREE CHANCE
for the Savings Bond Drawing.
Class size limited, rights reserved to refund application &/or
registration fees upon reaching maximum capacity.
*Payment can be made via Cash, check, Money Order or CreditCard.
Amt:_________ Cash________Check #________ Money Order_____
Charge Card:
Master Card______ Visa________ Discover________
Card#__________________________ Exp:_________ 3-digit code_______
Name on Card____________________________ Date____________
Signature____________________________________
Return to: CP&G Services LLC; PageantKnowledge.Biz;
PO BOX 604; Germantown, WI 53022-0604;
Fax#:262/253-1224 x-555 Tel:414/750-6863; e-mail:cpginfo@wi.rr.com
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