RegistrationForm














	395.00























100.00



		I have read and fully understand the rules and regulations of American Star Discovery. I certify that all the information on this application is true and correct. I understand that incorrect information can result in a forfeiture of all titles/prizes received. The Owners, Directors, of Staff of American Star Discovery, or it's host hotel will in no way be held responsible for accidents, or injuries incurred during or while in transport to and from the pageant. I understand that the judges decisions are final and paying of said fees and signing this form constitutes acceptance of those decisions. Any and all photos and videos of American Star Discovery Contestants may be used by American Star Discovery for advertising and promotional materials.





			DIGITAL SIGNATURE AND DATE

NAME:

ADDRESS:
(Include city, state, zip)

PHONE NUMBER:

EMAIL ADDRESS:

Hobbies:

Ambition for the Future:

Runway Modeling Event Fee
(Required):

ADDT'L OPPORTUNITY EVENTS

Cover Model ♦   Portfolio ♦ Outfit of
Choice ♦ Commercial Actor ♦
Monologue Actor ♦ Talent

Addt'l Opportunity Event: $25 ea.

Talent Only Option:
$150

ASD Black Tank Top(s)
Enter Size XS, S, M, L, XL

______ x ______ @ $15 ea. =

LOOK BOOK AD Pages
(email heather@ryantalent.com for
additional information)
_____ x _____ @ $100 =

Admission Passes $10 ea.
______ x ______ @ $10 =
will be $15 at the door

DISCOUNTS

SUPER EARLY BIRD DISCOUNT:
- $100 IF REGISTERED
BY MAY 1ST, 2010

EARLY BIRD ENTRY SPECIAL
REGISTER AND PAY IN FULL BY
JUNE 15TH, 2010 AND ENTER
EVERYTHING FOR $500 TOTAL

TOTAL

SIBLING DISCOUNT (if applicable)
Total divided by .50

DEPOSIT

BALANCE DUE
Any balance must be paid
in cash at registration.

Registration Form

Submit your deposit electronically
American Star Discovery only accepts online payments via Paypal!