Competitor Registration

REGISTRATION IS NOW CLOSED. Any Registration after 10/30/18 will not be accepted.

Legal First Name *

Legal Last Name *

Stage Name *

Email Address *

Email Address (confirm) *

Cell Phone *

Birthday *

Month

Day

Year

Short Bio (includ any titles that you may have won here)

Instagram Username

Facebook Username

Twitter Username

Attach Headshot *

Files must be less than 5 MB.
Allowed file types: jpg png.

Attach Full Body Pic *

Files must be less than 5 MB.
Allowed file types: jpg png.

By clicking the “Submit” button you acknowledge, Yes I accept the terms and conditions and certify that I am over 18 years of age. All submissions to the Platinum Pole Awards Submission Page will be reviewed. Platinum Pole Awards will notify those whose are accepted into the completion. At that time, a link will be emailed to secure your spot by paying the fully refundable registration fee. Registration fee will be completely refunded once competitor competes.

PHILADELPHIA

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Competitor Registration