Mr. Midwest Leather 2007 Contestant Application

Applications must be received by April 08, 2007 via email to Kurt@MrMidwestLeather.com

Contestant #___________ Office Use Only

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Contestant Information

NOTE: Please type or print legibly! This is the ONLY sheet the judges will be given.  Do not use “see attached.” You do not need to make any additional copies of this form.  Simply email it to Kurt@MrMidwestLeather.com and we will make copies for each of the judges.  If you have additional information for the judges, bring NINE COPIES of the information to the Interview on Saturday April 14, 2007.

Contest Names You Have Placed in Previous                                          Titles held (title, year)

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Name:  First, Middle, Last  (any pronunciation hints)                              Phone Number                   Email Address  

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City, State, Postal Code                                                                           Date Of Birth

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Height/Weight/Hair/Eye color

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Current Date

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Current Profession                                                               

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 Community Involvement (past 3 years):

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  Club Membership/Affiliations:

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Hobbies/Skills/Interests:

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Kinks/Fetish

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Sponsor or Sponsors for This Event

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