Flaunt It Pole Championships Acceptance Form
Competitor Name
*
First Name
Last Name
Division
*
Please Select
Amateur
Semi Pro
Professional
Doubles
Junior
Masters
Debutant
The competitor is
Younger than 18
18 or older
Parent Name (If under 18)
First Name
Last Name
I, undersigned, agree with the selected statement:
*
I grant permission for the competitor to participate and appear in video or audio recording, films, photographs, written articles, or on websites and social media sites.
I do not consent to the use of the competitor's photograph, voice, and/or name in various media projects.
Date
-
Day
-
Month
Year
Date
Signature
Submit
Submit
My Products
*
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Finalist Fee
This covers your photos, admin & judging fees for the event.
$25.00 AUD
$
25.00
AUD
Should be Empty: