2021 Stream Halloween Registration
Thank you for being a part of this spooky Stream for Starlight!
Please fill out the following information to confirm your participation.
Contact Information
Username
First Name:
Last Name:
Email:
T-shirt size? (unisex)
Please select...
XS
S
M
L
XL
2XL
3XL
Mailing Address
Address
City
State/Province
Zip/Postal Code:
Were you contacted by a Starlight staff member or referred by a streamer?
Yes
No
Which Starlight staff member or streamer?
Please select...
Alex
Dominic
Emily
Madison
Tara
Other
What is their name?
Are you joining as part of a stream team?
Yes
No
Which stream team?
Participation Details
Fundraising Goal:
Category of your stream
Please select...
Art & Design
Dance
DIY & How To
Educational
Entertainment
Fashion & Style
Fitness & Sports
Food & Drink
Gaming
Kids & Family
Music
Other
If other, please explain:
Dates of your event(s)
October 29 - 31: Multiple days
October 29 - 31: One day
What are the specific date(s) and times of your event(s)? Please include start and end times (even if an estimation)
What time zone will your event take place in?
Please select...
Alaska Standard Time (AKST)
Hawaii-Aleutian Standard Time (HST)
Pacific Standard Time (PT)
Mountain Standard Time (MT)
Central Standard Time (CT)
Eastern Standard Time (ET)
Atlantic Standard Time (AST)
Other
Unsure
If other or unsure, what state/country are you located in?
Where to view your stream:
What will you be streaming?
Are you interested in Starlight's other 2021 streaming events?
12 Days of Streaming (12/1 - 12/12)
Your Website and Social Media
In order to promote or feature your event(s)
Instagram Handle:
Twitter Handle:
Please provide a photo we can use to promote your event.
Starlight can feature me in social media posts
Story and Photo Consent
I grant Starlight permission regarding the following: I grant Starlight and any of Starlight’s agents, corporate partners, assignees, or licensees (“Released Parties”) the irrevocable, unconditional, and unrestricted right (but not the obligation) to use any photographs, videos, my name, image, personal characteristics, essays, personal story, biographical material, artwork, voice and/or likeness (“Materials”) in any promotions, publicity, and advertising utilizing the Materials respecting the Released Parties. I acknowledge that I will not receive any compensation for any use of the Materials. I waive and release all Released Parties from any and all claims or demands. I may now, or in the future, have, arising out of, or in connection with, this release agreement or the Materials including, without limitation, any claims respecting invasion of privacy, copyright infringement, right of publicity, defamation and any other personal and/or property rights. By providing my email address to Starlight, I am opting in to receive emails from Starlight regarding this event and other Starlight news.
.
I have read and understood this consent and release, and understand that Starlight may share my photo and story in promotional materials.
Contact Information