Costume-Con 25 Historical Masquerade
Please complete ALL sections of the form.  
PLEASE PRINT CLEARLY.  
In addition, we must receive a completed release signed 
by all entrants or your entry will not be accepted

Masquerade Staff only:

Entry No:

DIVISIONS
[ ]  Junior (13 and under)
[ ]  Novice
[ ]  Journeyman
[ ]  Master

ENTRY CATEGORY
[ ]  Historical Interpretation
[ ]  Historical Dress
[ ]  Ethnic Costume/Dress
[ ]  Works of Art  

ENTRANT INFORMATION
Number of entrants: ____

Entry Title: ________________________________________________

Designer(s): _______________________________________________

Made by: __________________________________________________

Presented by: ______________________________________________

Source: ___________________________________________________

Group Coordinator (if applicable): ______________________________

Entrant Names*:  ___________________________________________

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*List the names of ALL persons appearing on stage.  Attach additional 
sheets if needed, including entry title and group coordinator's name at 
top of the sheet.

ENTRY TYPE/ERA
Ethnic Type:____________

Era:
[ ]  Pre-500 CE
[ ]  500-1000 CE
[ ]  1000-1400 CE
[ ]  1400-1600 CE
[ ]  1600-1680 CE
[ ]  1680-1720 CE
[ ]  1720-1785 CE
[ ]  1785-1815 CE
[ ]  1815-1830 CE
[ ]  1830-1845 CE
[ ]  1845-1860 CE
[ ]  1860-1880 CE
[ ]  1880-1900 CE
[ ]  1900-1910 CE
[ ]  1910-1920 CE
[ ]  1920-1940 CE
[ ]  1940-1950 CE
[ ]  1950-1982 CE 

TECH INFORMATION
Sound.  Entrant Providing (check all that apply):
[ ]  Tape
[ ]  CD
[ ]  MC Script

Lighting.
[ ]  Default staging and lighting
[ ]  Special lighting request*  __________________________________

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*Describe in detail.  Attach additional sheet if needed

DOMINANT COLORS
(Choose no more than four)
[ ]  Black
[ ]  Red
[ ]  Yellow
[ ]  Blue
[ ]  Grey
[ ]  Gold
[ ]  Beige
[ ]  Brown
[ ]  Orange
[ ]  Green
[ ]  Purple
[ ]  White
[ ]  Silver
[ ]  Multi

PRESENTATION INFORMATION
Instructions to MC (check all that apply)
[ ]  Read standard intro (entry number, division, title) or
[ ]  Read limited intro (entry number and division only)
[ ]  Read set-up (Info read during blackout or before presentation begins)
[ ]  Read script (during presentation)
[ ]  MC part of presentation (interact with entrant)
[ ]  Read title after presentation ends

BRIEF DESCRIPTION OF COSTUME (include social class, civil, or military info, etc.)

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