YOUNG FAN or ADULT:
DIVISION:
ORIGINAL or RECREATION:
TAPE INTRO/ PRINTED INTRO/ NO INTRO:
COSTUME TITLE:
COSTUME SOURCE:
NAME(S) of ENTRANT(S):
MAILING ADDRESS:
CITY, STATE ZIP:
DESIGNER and/or MAKER (if different from above):
ADDITIONAL INFORMATION FOR M/C:
ADDITIONAL INFORMATION FOR JUDGES:
ADDITIONAL INFORMATION FOR TECHS:
DOMINANT COLOR OF COSTUME:
GENERAL CATEGORY (s-f, fantasy, horror, humor, historic etc.):