Slicker Registration

	* - Indicates required field
Registration Amount:	* (USD)
Designer's First Name:	*
Artist's Last Name:	*
Address:	*
City:	*
State:	*
Zip:	*
Phone:
Phone 2:
E-Mail:	*
Please provide a brief description of your entry: (Include color/s in your description) Design must be in good taste. something your mother would let you wear.
Designer Agreement/Waiver: I do hereby agree to waive any right or claim against Planned Parenthood of South Texas, Inc. (PPST), their successors or assigns, and release and/or hold harmless said parties from any claims, actions, causes of actions, damages and/or cost (active, constructive or implied) that may now arise, or shall arise in the future out of a showing of the work submitted for this fashion show. Such waiver and/or release includes but is not necessarily limited to fire, theft, negligence on the part of the said parties, individually or collectively, and that of others and the moving, transporting and storage of said property. I also grant to Planned Parenthood of South Texas, Inc. permission to reproduce my accepted design(s) with regard to PPST.s website, Facebook, publicity, and press releases. By completing the above entry information and paying the entry fee, I agree to the terms and conditions set forth above in the Designer Agreement/Waiver.

Questions?
Please contact Efrain Franco:
efranco@ppstx.org
or call (361) 857-0101

Visit or call our two
CLINIC LOCATIONS
in Corpus Christi
(361) 855-9107
(361) 857-0101

Visit
MALE CENTRAL CLINIC
Now Online!