In order to compete the registration form needs to be filled out and emailed to along with photo to TomHBlogOfHorror@gmail.com along with a $20.00 submission fee that you can pay by using the paypal link on the top left of the blog.
THE DEAD IN DIXON INDIE
HORROR FILM FESTIVAL
PRESENTS
MISS DEAD IN DIXON CONTEST
SEPTEMBER 28, 2013
REGISTRATION
FORM
NAME:_______________________________________________________________________
ADDRESS:___________________________________________
PHONE:_________________
EMAIL
ADDRESS:_____________________________________________________________
SUBMISSION FEE: $20.00
GUIDELINES: You
must submit one photo that can be posted on Tom H’s Blog of Horror for voting. No completely nude images are to be submitted. All images are to be
at least 500 x 500.
I acknowledge that my participation in this event
can cause potential injury to my person or property. With a full understanding
of potential risks, I ASSUME THE RISKS
OF PARTICIPATING IN THE MISS DEAD IN DIXON CONTEST.
Therefore, I take the following action for myself
and I waive, release and discharge from any and all claims or liabilities for
death or personal injury or damages of any kind, except that which is the
result of gross negligence and/or wanton misconduct of persons or entities
listed below: Planning Committee, event sponsors, and the officers, directors,
employees, representatives and agents. I agree not to sue any of the persons
listed above for any of the claims or liabilities that I have waived released
or discharged herein; and I indemnify and hold harmless the persons or entities
mentioned above from any claims or liabilities assessed against the as a result
of my own actions.
As
evidenced by my signature, I certify that I have read and I understand the
terms of this waiver and confirm that I am at least eighteen years of age.
SIGNATURE: ________________________________ DATE:
__________________________________________
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