Jeux Flash Roulette Boire Slot Machine Gratuit 50 Lions

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Jeux Flash Roulette Boire Slot Machine Gratuit 50 Lions
Northeast Drummer, Drummerboy, and
Drummer Bootblack 2015
Contestant Registration Form
Page 1
1) Read the Contestant Qualifications Document.
2) Read and Sign the Titleholder's Contract.
3) Complete and Sign the Contestant Registration Form.
4) Read and Sign the Photographic Release.
5) Provide to Producers a copy of driver's license or other document showing age.
6) Provide a photo (jpg, or tif) for the program book along with a bio (less than 200 words).
7) Send completed documents to the Producers by e-mail or mail at the address below.
[email protected] or James Gardner * Northeast Leather * 18 Olympia Ave * Woburn, MA. 01801
Drummer
Drummerboy
Drummer Bootblack
Name:
Address:
City, State, Zip:
Phone:
E-Mail:
Age:
Birth Date:
Special Medical or Other Needs:
Height:
Weight:
Have you ever been arrested, indicted or convicted of a felony or
crime involving fraud, deception or any other criminal activity?
Yes
No
Please make sure you have filled out all fields on this page,
if field does not apply please indicate such.
Make sure you have chosen the title you are competing for.
Deadline for Contestant Registration is Thursday, May 7, 2015 at midnight
(Producers must have registration form in hand by this deadline)
I, the undersigned, agree to comply with all the rules and regulations set forth by Northeast
Leather, my regional Sponsor, and the management of the facilities where the events are held.
I certify that all information I have provided on this form is accurate.
I certify that I am 21 years of age older and meet all of the qualifications specified in the
attached "Contestant Qualifications Statement".
I agree to comply with all of the requirements described in the attached statement of "What is
Expected of the Winners".
Signature:
Date:
Northeast Drummer, Drummerboy, and
Drummer Bootblack 2015
Contestant Registration Form
Drummer
Drummerboy
Page 2
Drummer Bootblack
Name:
Preferred Name:
Age:
Birth Date:
Hair Color:
Height:
Eye Color:
T-Shirt Size:
Boot Size:
Hanky Colors: Left:
Weight:
Body Hair:
Cock/Cup Size:
Right:
Current Title:
Previous Title(s):
Club Memberships:
Community Activities:
Leather/BDSM/Fetish/Kink Interests:
Should you win, what would your goals for your title year be?
Cut
Uncut
N/A
Northeast Drummer, Drummerboy, and
Drummer Bootblack 2015
Photographic Release
Drummer
Drummerboy
Drummer BootBlack
Name:
I, the undersigned, hereby grant to Northeast Leather and it's licensees, agents,
successors and assigns, the exclusive 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 contest,
rehearsal, photographic modeling session, reception or other related event. All
photographs and images of me shall be the property of Northeast Leather, who
shall have the exclusive right to use the photographs and images for any
purpose whatsoever in any media or context.
I agree to participate, if asked to do so, in a photographic modeling session
arranged by Northeast Leather at a location within the United States. I
understand that the photographs my be used exclusively by Northeast Leather
in it's advertisements, web site and promotional activities, and for no other
purpose unless I grant written permission. I understand that nudity is not
required but is optional. I shall receive no compensation for modeling other
than the prizes that are awarded to me, if any, as a contest winner.
I hereby release, discharge and agree to hold harmless Northeast Leather, it's
officers and agents, photographers, licensees, agents, successors and assigns,
including all publishers, distributors and webmasters who may publish,
distribute, broadcast, or otherwise use photographs and images of me, from any
liability or claim arising from the publication, distribution, broadcast, or other
use of any photographs and images of me, including any distortion, blurring,
alteration, optical illusion, or use in composite form, either intentionally or
otherwise, that may occur or be produced in the taking, processing, or
reproduction of the photographs and images of me, their publication,
distribution or broadcast.
I certify that I am twenty-one years of age or older, and have read this Release
before signing it. I have attached a photocopy of my driver's license or passport,
which shall be used for identification purposes and shall not be published.
Signature:
Date:

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