SIC Registration Form

Page 1

SIC Comp #:

SFL Sneaker Tournament Powered by Sneaker Icons Competition

SNEAKER TOURNAMENT REGISTRATION

Name: (Last Name)

(First Name)

Age:

Location: City

State

Email:

Phone Number:

Number of sneakers in your collection:

(Circle the range that best indicates the number in your collection.)

Below 15

15-20

21-25

26-30

31-35

36-40

40-45

46-50

50+

1|Page


SIC Comp #:

Circle one answer. Will you be able to attend the SneakerFest Live event in Charlotte, NC on October 29, 2011 from 10am to 6pm at the Carole Hoefener Center (610 E. 7th Street, Charlotte, NC 28202) as a Sneaker Icons Competitor?

Yes

No

By entering the Sneaker Icons Competition: By entering the Sneaker Icons Competition you grant permission to Sneaker Icons Competition and SneakerFest Live, its employees or representatives, to take and use: photographs/digital images, videotape, audio recording or quoted remarks, and other presentation materials of you and/or prepared by you to be used for promotional purposes. These promotional purposes might include printed or electronic publications, Web sites or other electronic communications. You further agree that your name and identity may be revealed in descriptive text or commentary in connection with the image(s). By entering the Sneaker Icons Competition presented by Sneaker Icons Competition and SneakerFest Live you agree that the media may contact you to speak with you in regard to your involvement in the Sneaker Icons Competition activities. You authorize the use of these materials indefinitely without compensation to you. All negatives, positives, prints, digital reproductions and video and audio recordings shall be the property of Sneaker Icons Competition and SneakerFest Live. I have read and accepted the terms stated above.

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