Online Registration

Area of Competition:
Male     Female
Legal Name:
Stage Name:
Date of Birth:
Phone:
Email:
Mailing Address:
City, State, Zip


BY ENDORSING THIS DOCUMENT
you hereby certify that you, the above named contestant:
1)  Have read and understand all rules and regulations of the World of Mantra Pageantry System hereinafter referred to as WMPS.
2)  Release all rights to Photography (motion and still), Print, Film, and any other medium feasible for advertising/promotional purposes attained by WMPS and/or its affiliates during the course of the said event.
3)  Release WMPS and/or its affiliates from all liability in correlation to injury, illness, and/or death that may occur during the course of the above mentioned event.

Legal Name:
Date:
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