Entry Form
If you have read the rules and are happy to enter please fill in the following application form.
| Name | |
| Stage Name | |
| URL |
Please identify and describe yourself:
| Date of Birth | |
| Sex | Male Female |
| Height | |
| Hair Color | |
| Eye Color |
Will you be participating for Miss Exilio TV or Miss Exilio Mermaid TS:
TV Miss Exilio 2008
TS Miss Exilio Mermaid 2008
Please state the country you wish to represent:
You are entitled to one helper, please provide his/her name so that
she/he
can be put on the guest list?
Any other Information?
By my signature below, I hereby release & hold harmless Exilio, their agents, servants, and employees from any liability and /or responsibility whatsoever from, associated with or arising out of my participation in this contest, including, but not limited to personal injury, or loss of personal property, regardless of weather the cause of injury occurs before, during or after the contest or any related activities. I also release myself from right to any videotaping, photography, sound recording, still camara, or the future ales thereof. I agree that I read the rules and regulations of the contest and agree to bide by the same.
