Cosplay Skit Exhibition: Sign-Up Form

Name of Group Leader:

E-mail of Group Leader:

It is up to you to provide an accurate e-mail address which can receive e-mail from providenceanime.com. Add us to your whitelist if you use an aggressive e-mail filter.

Telephone Number of Group Leader:

include area code
This is for cosplay staff use in case e-mail doesn't work. It will not be shared.

Number of Members:

How many people in the group (including the group leader)?

Names of Other Group Members:
(if group)

	Real Names:	E-mail Addresses:
2)
3)
4)
5)
6)
7)
8)

Name(s) of Series Involved:

Name(s) of Character(s) Involved:

Name of Skit:

Brief Summary of Skit:

THIS IS REQUIRED in order for your group to be granted a performance slot. Please do not answer "To be decided." Your application will be returned if you do.

Sound:

Will you be providing your own pre-recorded sound or will you use microphones?

Spoken Description:

Type what you would like the emcee to read about your performance before you enter the stage: (35 words or less, please)

Additional Information:

Any special comments or concerns?
(large or awkward costume, need stagehands, etc.)

By checking this box, I hereby verify that I have read ALL rules and guidelines and I realize that failure to adhere to said rules and guidelines will affect my eligibility to participate in the Providence Anime Conference Cosplay Skit Exhibition.

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