DRAGONFEST  November 21^st, 2004 

  GLENDALE, CALIFORNIA

REGISTRATION FORM FOR COSPLAY

Each COSPLAYER needs to fill out, and mail in this form.

                                  If you just want to cosplay around the event ,

                               and have no intention of participating in the contest,

                                                you do not need to register.

Full Name :    ________________________________ Age :___________

(Please print clearly)

Mailing Adress: _______________________________________________

Email:                                       _
Website (optional): ___________________

Phone & Fax:                                                                      

Character/Costume