Route 66 Leather Contestant Registration 2020

Route 66 Leather Contestant Registration 2020
1.Compete the Contestant Registration in its entirety.

2.Attach a copy of the front of your driver’s license or other government issue ID, with the number blacked out, clearly showing proof of your age.

3.Your bio should be no more than 500 words.

4.Attach a copy of your headshot photo. (Note: If electronically submitted the photo should be no largerthan 3”x3”, 300 dpi, 800 x 600 pixels, JPG or PNG.)

5.Contestant Registration fee ($110) is due at the time of registration, no later than July 3rd, 2020 at 11:59 PM CST
Select Competition *
Contestant Information
Name *

First Name Last Name
Scene or Stage Name

First Last
Date of Birth *
ex. 10/06/2018
Email *
example@example.com
Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Special Needs (allergy, dietary, mobility, etc.)
Emergency Contact

Club Affiliations
Please include positions healed in the organizations
Current Title(s)
Previous Title(s)
How long have you been involved in the community you represent? *
What community activities are you involved in? *
What hankie colors do you flag? Right or Left for each? *
What are your Leather/BDSM/Fetish interests? *
What do you hope to accomplish during your Title year? *

Have you ever appeared in pornographic photos, films, or videos? (Not a disqualifier) *

Yes No
Have you ever been arrested, indicted, or convicted of a felony? If so, please explain. (Not a disqualifier) *

Yes No
If answered Yes to the above question.
Contestant Bio *
Contestant Head Shot *
Contestant Drivers License or State Issued ID *
Please black out your Drivers License number and other not relevant information

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