official entry form

OFFICIAL ENTRY FORM
OVER $20,000 TOTAL IN CASH & PRIZES!
PRELIMINARIES: SEPT 18 & 25 and OCT 2 & 9 | FINALS: OCT 16
Name: ____________________________________________________________ Age: ______________
Address: _______________________________________________________ Apt #: ________________
City/State: ____________________________ Zip: ____________ Contact #: (
) ________________
E-mail Address: _______________________________________________________________________
(Cup Size)
Height:
_
Weight:
_
Bust:
__
Waist:
_
Hips:
__
Hair
Color: __
Eye
Color: ______
Hobbies & Interests: ____________________________________________________________________
Employer: ___________________________________ Position: ____________________ Full / Part-Time
(Please Circle)
Please write a brief biography of yourself: ___________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
DATE YOU WISH TO COMPETE
(Please Circle Your 1st and 2nd Choice)
September 18th
1st
2nd
September 25th
1st
2nd
October 2nd
1st
2nd
October 9th
1st
2nd
Only 15 contestants allowed in each Preliminary. All
contestants must be in Riverdome™ no later than
6:30pm day of competition. If not, they will be
disqualified for that week.
RULES & REGULATIONS
• Must be 21 years of age or older.
• No Thong or T-Back swimsuits are allowed.
• Revealing outfits will only be allowed at officials’ discretion.
• Routines are limited to 90 seconds maximum.
• Contestants must register 48 hours in advance of each
weekly preliminary.
• Contestants must sign Horseshoe Release Form.
• Three “Wild Card” contestants will be included on the day of
Finals. If preliminary week is cancelled due to inclement
weather, additional wild cards will be selected day of finals. ENTRY FORM & MUSIC SELECTION (CD’S ONLY) MUST BE SUBMITTED
TOGETHER AT THE HORSESHOE GIFT HORSE OR MAILED TO:
Jessica Oliver, 711 Horseshoe Boulevard, Bossier City, LA • 71111
THANK YOU TO OUR SPONSORS:
Today’s Tanning • Phoenix Underground • Element Fitness • Skin Works • The Warehouse
The Funny Bone • 211 Martini • Fat Cats • Shreveport Limousine • Merry Maids
Heart n Soul • Déjà Vu Love Boutique • Jennifer Bruton
FOR MORE INFORMATION CALL: 318-741-7800
RELEASE FORM
I,THE UNDERSIGNED, FOR GOOD AND VALUABLE CONSIDERATION,THE RECEIPT AND SUFFICIENCY OF WHICH
IS HEREBY ACKNOWLEDGED, HEREBY IRREVOCABLY GRANT TO HORSESHOE ENTERTAINMENT, ITS
SUBSIDIARIES,AFFILIATES, NOMINEES, SUCCESSORS, LICENSEES,AND ASSIGNS (“HORSESHOE”) THE RIGHT,
LICENSE,AND PERMISSION TO RECORD AND/OR REPRODUCE MY NAME, LIKENESS,VOICE AND ANY OTHER
MATERIAL PROVIDED BY ME IN ASSOCIATION WITH THE MISS HAWAIIAN TROPIC PAGEANT TO BE HELD AT
HORSESHOE’S LOCATION (COLLECTIVELY THE “MATERIAL”), ON AUDIO OR VIDEO TAPE, FILM OR IN OR ON ANY
OTHER MEDIA,TO EDIT AND OTHERWISE MODIFY (THE “WORK”),AND TO USE OR AUTHORIZE THE USE OF SUCH
MATERIAL OR ANY PORTION THEREOF IN ANY MATTER, PRODUCT, FORMAT OR MEDIA, OR BY ANY MEANS,
METHODS, OR TECHNOLOGIES NOW KNOWN OR HEREAFTER TO BE KNOWN (THE “MEDIA”), AT ANY TIME OR
TIMES THROUGHOUT THE WORLD IN PERPETUITY. I FURTHER IRREVOCABLY GRANT HORSESHOE THE RIGHT
TO USE MY NAME, LIKENESS, VOICE AND BIOGRAPHICAL AND OTHER INFORMATION, AS WELL AS ANY OTHER
MATERIAL PROVIDED BY ME, IN HORSESHOE’S SOLE DISCRETION,TO PUBLICIZE, DISPLAY, PERFORM, EXHIBIT,
DISTRIBUTE, TRANSMIT, BROADCAST, PROMOTE AND ADVERTISE THE WORK AND ANY MATERIALS DERIVATIVE
OF, SUPPLEMENTAL TO OR RELATED TO THE WORK, IN ALL MEDIA. I HEREBY SPECIFICALLY WAIVE ANY RIGHT
THAT I MAY HAVE TO INSPECT OR APPROVE THE FINISHED WORK.
I REPRESENT AND WARRANT THAT I AM AT LEAST TWENTY-ONE (21) YEARS OF AGE;THAT I HAVE THE FULL
POWER AND AUTHORITY TO ENTER INTO THIS RELEASE AND TO PROVIDE THE MATERIALS PROVIDED
HEREUNDER;THAT THE GRANT AND OTHER PROVISIONS OF THIS RELEASE ARE NOT IN CONFLICT WITH AND DO
NOT VIOLATE ANY COMMITMENT, AGREEMENT, OBLIGATION OR UNDERSTANDING THAT I NOW HAVE OR WILL IN
THE FUTURE HAVE WITH ANY OTHER PERSON OR ENTITY;THAT HORSESHOE’S USE OF MY NAME,
LIKENESS,VOICE,AND THE MATERIAL WILL NOT VIOLATE THE RIGHTS OF ANY PERSON OR ENTITY AND WILL
NOT CAUSE HORSESHOE TO INCUR ANY LIABILITY FOR PAYMENTS TO ANY PERSON OR ENTITY;THAT THE
MATERIAL DOES NOT CONTAIN ANY LIBELOUS, OBSCENE OR OTHERWISE UNLAWFUL MATERIAL, NOR INFRINGE
ANY COPYRIGHT,WHETHER COMMON LAW OR STATUTORY, NOR VIOLATE ANY PERSON’S RIGHT OF PRIVACY
OR PUBLICITY, NOR OTHERWISE VIOLATE ANY PERSONAL, PROPERTY OR PROPRIETARY RIGHTS OF ANY
OTHER PERSON OR ENTITY.
I HEREBY INDEMNIFY HORSESHOE, ITS AGENTS, EMPLOYEES, DIRECTORS, OFFICERS, INSURERS,
LICENSEES,ASSIGNS AND ANYONE USING THE MATERIAL (THE “RELEASED PARTIES”) FROM ANY AND ALL
CLAIMS, LOSSES, DEMANDS, DAMAGES, LIABILITY, COSTS AND EXPENSES (INCLUDING REASONABLE
ATTORNEY FEES AND COSTS) ARISING OUT OF, OR IN CONNECTION WITH,THE USE OF MY NAME,
LIKENESS,VOICE OR MATERIALS IN CONNECTION WITH THE MATERIAL OR THE WORK, OR IN THE
ACCURACY,ALLEGED BREACH OR ACTUAL BREACH OF ANY REPRESENTATION,WARRANTY OR UNDERTAKING I
HAVE MADE HEREIN OR IN THE MATERIAL.
I HEREBY WAIVE AND RELINQUISH ALL RIGHTS AND RELEASE THE RELEASED PARTIES FROM,AND SHALL
NEITHER SUE NOR BRING ANY PROCEEDING AGAINST ANY OF THE RELEASED PARTIES, FOR ANY CLAIM OR
CAUSE OF ACTION, WHETHER NOW KNOWN OR UNKNOWN, FOR DEFAMATION, INVASION OF RIGHT TO
PRIVACY, PUBLICITY OR PERSONALITY OR ANY SIMILAR MATTER, OR BASED UPON OR RELATING TO THE USE
AND EXPLOITATION OF THE MATERIALS. I FURTHER WAIVE, RELEASE AND RELINQUISH ANY AND ALL CLAIMS,
DEMANDS, LOSSES,ACTIONS AND/OR CAUSES OF ACTION AGAINST THE RELEASED PARTIES OF AND FROM ANY
AND ALL DAMAGE OR LOSS TO MY PERSON, INCLUDING BUT NOT LIMITED TO, BODILY AND PERSONAL INJURY
AND/OR DEATH, HARASSMENT, MENTAL ANGUISH,ANXIETY OR STRESS RELATED DISORDERS OF ANY KIND OR
NATURE WHATSOEVER, RESULTING FROM MY PARTICIPATION IN THE EVENT,WHETHER SUCH CLAIM, DEMAND,
LOSS, DAMAGE OR INJURY RESULTS FROM THE NEGLIGENCE OF THE RELEASED PARTIES, OR ANY OF THEM,
OR FROM SOME OTHER CAUSE.
I KNOWINGLY AND VOLUNTARILY ASSUME ANY AND ALL RISKS FOR ANY CLAIMS MADE ON MY BEHALF AGAINST
THE RELEASED PARTIES IN CONNECTION WITH MY PARTICIPATION IN THIS EVENT,AND I UNDERSTAND AND
AGREE THAT THIS WAIVER INVOLVES ANY AND ALL CLAIMS RELATED TO MY PARTICIPATION. I FURTHER
UNDERSTAND AND ACKNOWLEDGE THAT THE RELEASED PARTIES CANNOT AND DO NOT GUARANTEE MY
SAFETY OR WELFARE IN CONNECTION WITH MY PARTICIPATION IN THE EVENT. PRIOR TO SIGNING THIS
RELEASE, I CONFIRM THAT I HAVE READ IT AND WARRANT THAT I AM OF LEGAL AGE, AND FULLY UNDERSTAND
THE CONTENTS, MEANING AND CONSEQUENCES THEREOF.
Print Name _______________________________________________ Date ___________________________
Signature ________________________________________________
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