Mail this completed form to: Patricia McMullen

615 Sunnybrook Drive

Monroe, NC 28110

(Send whole page)

Registration Deadline: April 15, 2010

TOPS # NC ______, ______Leader: ______

PAST STATE ROYALTY

Past State Royalty participants must be KOPS and attending SRD:

Name: ______Chapter: TOPS # NC ____, ______

Queen: ____King: _____Queen Runner-up ____King Runner-up: _____

Year: ______

PAST STATE ROYALTY

Past State Royalty participants must be KOPS and attending SRD:

Name: ______Chapter: TOPS # NC ____, ______

Queen: ____King: _____Queen Runner-up ____King Runner-up: _____

Year: ______

PAST STATE ROYALTY

Past State Royalty participants must be KOPS and attending SRD:

Name: ______Chapter: TOPS # NC ____, ______

Queen: ____King: _____Queen Runner-up ____King Runner-up: _____

Year: ______

Mail this completed form to: Patricia McMullen

615 Sunnybrook Drive

Monroe, NC 28110

(Send whole page)

Registration Deadline: April 15, 2010

TOPS # NC ______, ______Leader: ______

NAME TAGS

Each chapter is requested to make their own nametags to co with the “TOPS Racing Team: Win by Losing” theme. Each nametag should include the State Designation “NC” and the chapter number. City is optional but recommended. Please bring an extra nametag to be displayed for judging and turn it in at the appropriate registration table. NOTE: The nametag that is entered must be the same as those worn by the chapter members.

PLEASE WEAR YOUR NAME TAGS AT ALL SESSIONS AT SRD

Please prepare a name take for all guests as well.

We will______/will not______bring our nametags.

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LOOK-A-LIKE PARADE (1:15PM SESSION ON FRIDAY)

We will ______/will not ______participate in the Look-a-like Parade.

Please bring a 3 x 5 card with the following information: event, chapter name and description of outfit. No shorts, bathing suits or body stockings. All outfits must be in good taste! Any accompanying skit, song, or cheer is limited to one minute in order to keep things running smoothly. Chapters may not use the hotel’s sound system to provide music but may be permitted to use the microphone on stage. (The music is set up for each session and to change anything can cause problems.)

CHAPTER ROYALTY PARADE

2009 Chapter Queen and King will be introduced on stage during Saturday Morning Session. All Royalty are requested to wear chapter sashes and crowns for this event if you have them. The dress code for this event will be the same as for the KOPS session on Saturday night:

Please List only if attending SRD:

2009 Chapter Queen: ______

2009 Chapter King: ______

Mail this completed form to: Patricia McMullen

615 Sunnybrook Drive

Monroe, NC 28110

(Send whole page)

Registration Deadline: April 15, 2010

TOPS # NC ______, ______Leader: ______

LEADERS PARADE

Please list only if attending SRD:

2010 chapter leaders will be introduced on Stage Saturday afternoon.

(Dress code: dress, skirt and blouse or slacks and top for ladies. Slacks and sport short for gentlemen. Let’s be examples for our chapter members.)

2010 Leader: ______

If the leader is not in attendance, the co-leader may not take his/her place.

COUPLES IN TOPS PARADE

Couples in TOPS will be introduced on stage on Saturday afternoon prior to the Wedding Showcase. (Couples do not have to be in the same chapter.) We ask that participants not wear shorts or jeans to make this look special.

Husband: ______Wife: ______

Husband: ______Wife: ______

Husband: ______Wife: ______

CENTURY AWARD WINNERS

Members who have previously won a Century Award and have maintained the 100 pounds lost and must be attending SRD. (This parade and awards of new medallions will take place on Saturday morning. Please dress appropriately.)

Name: ______Year received: ______

Name; ______Year received: ______

Name: ______Year received: ______

Mail this completed form to: Patricia McMullen

615 Sunnybrook Drive

Monroe, NC 28110

(Send whole page)

Registration Deadline: April 15, 2010

TOPS # NC ______, ______Leader: ______

BAGGY CLOTHES PARADE REGISTRATION

Baggy Clothes Parade Entrants must have lost a minimum of 30 pounds in TOPS. Only before and after sizes in TOPS are to be given. Participants must wear regular street wear—no shorts, bathing suites, or body stockings. (Parade will be held during the 1:15 Friday afternoon session. Entrants must be pre-registered and re-register with the appropriate station in order to participate. Special instructions will be given at registration on Friday morning.

Name of participant / Before size / After size

BANNER REGISTRATON

We will ______/ will not ______bring a banner to SRD.

Banner much be checked in no later than 4:30pm on Friday. Participants must bring an easel or rack of some sort to hold banner for display. Now banners will be accepted after that deadline. No changes may be made on the banner, if the Banner Committee disqualifies it. Follow the enclosed banner rules carefully.