First name:
Last name:
Country:
Zip code:
Phone:
Email:
Dob: Date of Birth FOR VERIFICATION PURPOSES ONLY PURSUANT TO 18 U.S.C. ยงยง 2256 ET SEQ.
Pronouns: --------- She/Her He/Him They/Them Other
Social handles: Instagram, Facebook, X, YouTube, TikTok, Twitch, Threads, Reddit, etc.
Ethnicity: --------- White Black/African American Hispanic/Latino Asian American Indian/Alaska Native Native Hawaiian/Pacific Islander Two or more Races Decline to Answer
Nationality:
How did you hear:
Employer feelings:
Occupation:
Know anyone:
Desired prize:
Competed before: Yes No
Prior url:
Registration feep aid:
One-time registration fee: $60
Total: $60.00
