2026 Toilet Paper Derby Hat Contest
Entry Form

The 2026 Charm Weddings Toilet Paper Derby Hat Contest

Official Entry Form and Release

Please READ THE OFFICIAL RULES

Fill out all portions of this form and return to:

TPDressContest@gmail.com along with your entry photos and releases for the 2026 Contest.

Deadline is April 28, 2026, by 11:00PM Eastern Standard Time

This form must be completed and signed to be eligible!

Name ______________________________________________________

Address ____________________________________________________

Address ____________________________________________________

City, State, Zip Code __________________________________________

Phone Number #1 ____________________________________________

Phone Number #2 ____________________________________________

Email(s) ____________________________________________________

Name of Entry/Hat (optional) ____________________________________

Number of rolls of Toilet Paper used and type used ___________________

Materials used to create the entry _________________________________

__________________________________________________________

Description of Hat and/or Inspiration ______________________________

_________________________________________________________

Are you eighteen (18) years of age or older? _____ Yes _____ No

Are you a legal U.S. resident? _____ Yes _____ No

Were any of your Entry Photos taken by someone other than you?  _____ Yes _____ No

Note that each photographer must sign a Materials Release

License: By entering the contest, each Entrant grants all Sponsors (including Charm Weddings/806 Media Inc., or affiliated companies and each of their affiliates, advertising agencies, their employees, officers, directors, and representatives as well as any potential sponsors) of the contest, a non-exclusive, perpetual, worldwide, royalty free, irrevocable license to display, reproduce and distribute their entry, name, likeness, story, voice, statements, photos, video, and hat. Entrant grants Sponsors the right to (use or not use) copyright, database rights and publicity in any media now or hereafter known, including, but not limited to the Internet, without any compensation.

Entrant agrees that Sponsors will not be required to designate the Entrant as the creator. Sponsors will not be required to seek approval by Entrant or pay additional consideration in connection with such use. Further, by entering the contest, each Entrant grants Charm Weddings/806 Media Inc. license to edit, modify, change, adapt, distribute and create derivative works from the entry (with the understanding that they are under no obligation to do so) or incorporate the entry into any medium, form, or technology, including the right to publish the entry, post the entry on the Internet and use for advertising and promotional purposes at its sole discretion in perpetuity.

ALL photos, and video that are mailed to Charm Weddings/806 Media Inc. become the sole property of Charm Weddings/806 Media Inc. and will not be returned.

I represent and warrant that all the above information that I have provided to Charm Weddings/806 Media Inc. is true, accurate and complete.

I certify that I, and those appearing in my photos are 18 years of age or older and reside legally in the United States (including the District of Columbia).

Print Name ___________________________________________

Signed _______________________________________________  Date ____________

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