Mr. Eagle Application Mr. Eagle Application Name * Name First First Last Last Stage Name Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Email * Phone * Date of Birth * Height Weight * Hair Color * Eye Color * Body Modifications / Tattoos / Piercings * Current Relationship Status * Occupation * Hobbies, Skills & Interests * Titles - Past & Present * Community Involvement * Club Memberships or Affiliations * Why do you want to be Mr. Eagle Wilton Manors * Additional Comments Checkboxes * I agree to the terms of the Mr. Eagle Wilton Manors Competition. TERMS - I understand that my image may be used by Eagle Wilton Manors for marketing, promotions and other purposes. The winner of Mr. Eagle is expected to compete at International Mr. Leather in Chicago in same year as their title year. Mr. Eagle Wilton Manors will be asked to put together and attend events throughout your year and make guest appearances. Mr. Eagle Wilton Manors represents Eagle Wilton Manors and is expected to conduct himself in an appropriate manner. I understand if I am unable to fully I’ll my responsibilities as Mr. Eagle Wilton Manors that I must return all prizes given to me. I also acknowledge that Eagle Wilton Manors may at any time remove me as Mr. Eagle Wilton Manors and name the 1st Runner Up Mr. Eagle Wilton Manors for the remainder of my title year. If you are human, leave this field blank. Submit Start Over
