OFFICIAL BOOTBLACK CONTESTANT APPLICATION

 

  • Submission of this application does not guarantee acceptance as a contestant.
  • Interested bootblacks should complete the online Application Form in full. It will be sent automatically to the Bootblack Contest Coordinator.
  • Each application will be reviewed upon submission and the interested bootblack will be informed of application status within 21 days. (or by November 22nd, whichever is first)
  • Once accepted, the Bootblack Contest Coordinator will send the contestant a designated code for online registration. The contestant will then have 14 days to complete the online registration and pay the contestant registration fee.
  • The contestant fee is $25. Fee covers admission to Southwest Leather Conference.  The contestant will be responsible for all pre-purchase of desired meals, event extras and Dance of Souls.
  • Final deadline for contestants is November 22nd, 2016 or when five bootblacks are accepted as contestants, whichever comes first.
INFORMATION ABOUT THE BOOTBLACK CONTESTANT
(To be used on your nametag, in publicity materials and on stage)
(that we can use to contact you before the event and onsite)
Years
(Include contact person, email and number of years involved.)
Sponsors
(if applicable, not required)
Affiliation
(if applicable, not required)
Community References #1
Community References #2
Please attach a photo here that can be shared on the website, event program, and for publicity purposes. Head and shoulder shots please, not full body poses. Only jpg or gif images maximum 800KB
Files must be less than 800 KB.
Allowed file types: gif jpg jpeg png.
I have read the Official Contestant Information and am able to complete the obligations of contestant and titleholder should I win.

DISCLAIMER AND RELEASE OF LIABILITY

In consideration of the acceptance of my entry herewith by the owners the Southwest Bootblack Title and producers of the Southwest Bootblack Contest weekend, I hereby waive, release and forever discharge Butchmanns, Inc., its owner, producers, members, agents, operators, employees, lessors, lessees, parent companies or entities, affiliated companies or entities, representatives or subsidiaries from any and all demands, actions, causes of actions, claims of injury or damage to our persons, property or reputations, costs, damages, expenses, attorney’s fees or penalties of any kind or nature, whether asserted or unasserted, known or unknown, that may arise now or in the future from any cause whatsoever in connection with my participation in and with the Southwest Bootblack Contest. I hereby give permission for the use of my scene names, photographs and videos in connection with publicity for Southwest Bootblack title, contest and weekend. By my signature, I hereby state that I have read and understand the above disclaimer and have also read and agree to abide by the Official Contestant Information. I further state that I am at least 21 years of age. I further agree that, for the purposes of authorizing and authenticating this liability waiver, my electronic signature via online application has the full force and effect of a signature affixed by hand to a paper document.


CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.