Mr and Miss Pretoria Gay Pride, Participant Application Form 2015.01 MR AND MISS PRETORIA GAY PRIDE PARTICIPANT APPLICATION FORM 2015.01 PRETORIA GAY PRIDE Presents Mr and Miss Pretoria Gay Pride; Miss Fem and Miss Stud Pretoria Gay Pride Dear Applicant, Please complete the following details (manually or electronically): Full Names: Surname: Nickname/Stage Name: ID No: Date of Birth: / Residential Address: Email Address: Cell 1: Cell 2 (if applicable): Next of Kin (for emergencies): Means of communication “X”: Name: Cell: Email: / Surname: Relation: Facebook: Whatsapp: Write your name at the title for which you are applying for (note: you can only apply for one title): Mr Pretoria Gay Pride (Gay/bi male) Miss Pretoria Gay Pride (Drag artist) Miss Fem/Stud Pretoria Gay Pride (Gay/bi female) Competition rules and Terms & Conditions apply which will be emailed to you once your application has been accepted. E-mail completed forms to marketing@unfoldingmedia.co.za Sign or type your full names: _________________ LOOKING FORWARD TO HAVE YOU ON BOARD! Page 1 of 1