Name:________________________Age:______

 

Parents:________________________________

 

Address:___________________City:_________

 

State:____ Zip:_______ Telephone:__________

 

E-Mail:__________________________________

 

Hair Color:______ Eyes:_____Best Friend_____

 

School Attending:________________________

 

Hobbies:________________________________

 

Favorite Food:____________F. Person_______

 

Sponosored By:__________________________

 

Everyone must pay except contestant!! Please advise your guest!!!!

 

I understand and agree that the Director nor the place os staging, will be held responsible for any accident, theft or personal loss incurred at the pageatn or in transit to and from pageant.  I also agree and understand that the Judges decision are final and poor sportsmanship will not be tolerated.

 

_____________

Parent/Guardian Signature

 

fees:

Entry Fee: $80.00

this includes everything even the Overalls

Tickets Must sell 100 Tickets for your entry

Sign guestbook for your chance to win fees off of yout entry!

Mail entries to Vickey DiMattia P.O. Box 1241 Independence La 70443 (make checks payable to Vickey DiMattia)