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Contestant Registration Form

Contact

CURRENT HOME ADDRESS

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Please upload an electronic copy of the front of your driver's license or government-issued ID, clearly showing proof of your age. You may cross out the ID number for privacy.


Contestant Profile

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Attach an electronic copy of your headshot photo (max. 3" x 3", 300dpi, 800x600 pixels or greater- JPG or PNG).

What are you applying for?

Biographical Information

Thanks for registering to our event. See you there!

Physical Information

CERTIFICATION OF BIOGRAPHICAL INFORMATION

CERTIFICATION OF CRIMINAL HISTORY

It is not the intent of AFCLG contest to judge or to shame past acts; however, AFCLG titleholders are entrusted with community possessions, community spaces, and must complete certain obligations requiring public interaction. It is mutually beneficial for AFCLG contest organizers and prospective titleholders to have an understanding of such past acts in order to consider adjustments to title year obligations. For example: if an applicant got a DUI and is now, recently, sober, more conversation around what events or venues would feel supportive and safe during their recovery would be in order.

 

If you have been arrested for a felony in the past 10 years or a misdemeanor in the past 3 years, disqualification is NOT automatic. Circumstances will be reviewed on a case-by-case basis. Please attach an addendum to this application with a brief explanation or contact us directly to discuss by phone or in person.

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RESTRAINING ORDERS

For everyone’s safety and well-being, we require disclosure if you are presently protected or restrained from any person(s) or location(s).

Does this apply to you?

DISCLAIMER & RELEASE OF LIABILITY

I, the undersigned, in consideration of the acceptance of my entry herewith by the San Diego Leather Pride (“AFCLG”) owners/producers, hereby waive, release and forever discharge its owners, producers, members, agents, or representatives from any and all demands, actions, causes of actions, claims of injury or damage to my person, property, or reputation from costs, damages expenses, attorney’s fees or penalties of any kind or nature, whether known or unknown, that may arise from any cause whatsoever in connection with my participation in and with AFCLG. 

I, the undersigned, also hereby grant to AFCLG and its licensees, agents, successors and assigns, the right and permission to own, print, reprint, broadcast, reproduce, and publish any and all photographs, negatives, video and audio recordings, and other electronic media and mechanical images of me, which are taken during any local, regional or international competitions, rehearsals, photographic modeling sessions, receptions or other related events during the contest and subsequent years, if applicable.

 

If asked, I will participate in a photographic modeling sessions arranged by AFCLG. I understand that the photographs may be used exclusively by AFCLG in its advertisements, website and promotional activities. I understand that persons not affiliated with AFCLG may distribute images, in which case(s) contest organizers have no control; as such, AFCLG will be held harmless. 

I hereby release, discharge, and agree to hold harmless AFCLG, any present or acquired officers, agents, photographers, licensees, agents, successors and assigns, including all publishers, distributors and webmasters who may publish, distribute, or otherwise use, either intentionally or otherwise, my photographs and images from any liability or claim arising from their use.
 

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