Revised: February 3, 2008

Anime Dating Game Application

This form is used to apply for the Anime Dating Game. Note: This form does NOT register you for the convention itself. To pre-register for the convention itself, please see the registration page. It is highly recommended that those wishing to particiapte in this event pre-register for the convention.

If you aplly for Anime Dating Game and change your e-mail address, please notify us immediately.

Anime Dating Game Application Form

(fields with astericks are required)

*First Name
*Last Name
*E-mail Address
Sex	Male Female
*Height (in inches)
*Age
*Have you participated in Anime Dating Game before?	Yes No
	If yes, complete the following for the last time you participated:
	What convention?
	What year?
	What character?
*Have you participated in other cosplay events at conventions before? E.g., costume contests, dating games, skits?	Yes No If yes, what events at which conventions:
*What other acting or roleplay experience do you have?
Character 1?	*Name:
	*Series:
	*Photo Link:
Character 2?	Name:
	Series:
	Photo Link:
Character 3?	Name:
	Series:
	Photo Link:
Character 4?	Name:
	Series:
	Photo Link:
List other costumes here if you have more than four:
If you applied with more than one costume, is there one which you would strongly prefer to wear?
Any other questions or comments: