ICFWA Reign 38 Application Dedicated to Love in the Community Applicant Information (please print) Given Name: Stage Name: Current Street Address: City: State: Zip Code: Partner or Spouse: Anniversary Date: Your Date of Birth: Month: COM and/or Lifetime Titles: Day: Contact Information Home Ph #: Cell Ph #: Do you Receive Text? _____ Yes ______ No Email 1: Email 2: Facebook: Other: Other: What is the preferred way to contact you from the list above? May we print the above information in the Membership Roster? _____Yes _____No I would like to be added to the: _______yahoogroup _______treehouse yahoo group Participation Level for Reign 38 Please check the option which will realistically apply to you. I would like to be a member of the court and Attend meetings only _______ The below attendance is based on 4 events per month My attendance will be less than 25% per month ___________ My attendance will be 50% per month ___________ My attendance will be 75% per month ___________ My attendance will be greater than 75% per month ___________ Will you perform on the Emperor's Side (Male/Male Impersonator) _________Yes _________No Will you perform on the Empress's Side (Female/Female Impersonator) _________Yes _________No Would you accept a place on the Line of Succession? ________Yes ________No If 'Yes' why do you feel you should you be on the Line of Succession? ALL TITLES FOR REIGN 38 ARE AT THE DISCRETION OF THEIR MAJESTIES Other _________(Initials) I give my permission to use my ____given name &/or ____ stage name, photos, videos or any media for the use on ICFWA websites, facebook or any other ICFWA internet site or publication. _________(Initials) I understand I must attend a court meeting to become a member and will have voting privileges at the next meeting. (per the bylaws of the ICFWA) Signature of Applicant: Date: TURN THE PAGE OVER ICFWA Reign 38 Application Dedicated to Love in the Community How can you contribute to the Community during Reign 38? Please tell us any areas you might have experience in which you could contribute to Reign 38. (Example: Construction, Artist, Chef, Seamstress, etc.) I am interesed in: (check all that apply and/or fill in other) Care Team: Set up/Clean up _______ Contacting Charities__________ Deliveries__________ Planning _________ Shopping_________ Other: Production Numbers: Planning _______Music Editing _____ Choreography ______ Other: Internet/ Computer: Website____ Facebook____ Calendar____ Other: Shows: Host ___ Entertain___ Spotlight____ Count $ ____ Decorate_____ Other: Press: Create/Distribute Posters ____ Create/Distribute Monthly/Quarterly Calendar ______ Media ______ Other: Contest/ Pageants: Host ___ Entertain___ Spotlight____ Count $ ____ Decorate_____ Other: Judge____ Tally Master _______ Sponsorship: Corporate____ Small Business ____ Individual_____ Other: Coronation Committee: Ad Sales _______ Booklet Layout _____ Decortions _____ Set Design_______ Vendors _________ Helper ________ Other: Buffets: Lights of Love: Set up/Clean up _______ Food Preparation ________ Other: Committee Member_______ Sales________ Advertisement________ Other: GPW Parade Entry: Committee Member _______ Decorate/Create Float__________ Other: Bylaws: Committee Member_____ Education: Prepare information about ICFWA ________ Distribute Info about ICFWA _________ Host Membership Table at events _________ Other: Other: If you are interested in being a Committee Chair please tell us which committee(s) you are interested in chairing: 1 2 How would you like to see the ICFWA raise money this year? 1 4 2 5 3 6
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