Hair & Makeup Artist Registration Artist Name* First Last Cell Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contestant's Name*State Pageant*Select State Pageant Miss Alabama USA and Miss Alabama Teen USA Miss Louisiana USA and Miss Louisiana Teen USA Miss North Carolina USA and Miss North Carolina Teen USA Miss South Carolina USA and Miss South Carolina Teen USA DeclarationIn consideration for providing hair and/or make-up services during the declared pageant weekend(s), I agree: To bring the equipment needed, including hair styling products and accessories, make-up and accessories, additional mirrors and lighting needed along with a power strip and extension cord. (We will provide you with electrical outlets, chair, and workstation) To adhere to the designated times and locations set forth by RPM Productions, Inc. There are inherent risks of injury. I knowingly assume those risks and agree to indemnify and hold harmless RPM Productions, Inc., Paula or Ryan Miles, and the Miss Universe Organization for all injuries sustained, and/or products/equipment damage, except those caused by the sponsoring director’s sole negligence. Agreement* I have read this release of liability and assumption of risk agreement, and fully understand it’s terms and sign it voluntarily.Signature*