Author:
angie, Mike, Kristin and Kassie
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Date Posted: 16:36:14 04/10/06 Mon
OUR LITTLE MISS
EAST MISSOURI PRELIMINARY
APRIL 15th, 2006
FARMINGTON, MISSOURI
Long Memorial Hall
Registration from 12:30 pm till 2:30 pm, pageant will start at 3:00 pm for all Divisions
Door Entries Welcome
110 West Columbia St
Farmington, MO 63640
Official Divisions
Baby Petite (0-2 yrs)
Miss La Petite (3yr-6yr) Our Little Miss (7yr-9yr)
Our Little Miss Pre Teen (10yr-12yr) Ideal Miss (13yr-17yr)
Universal Girl (18yr-28yr)
Universal Ms. (29yr-Up) Married. Has been married.Has had child
EMCEE FORM
Name: _________________________________________________________________
Age: _____________
City: ________________________________ State: ____________________________
Hair Color: _______________________ Eyes: ________________________________
Favorite Color: _____________________ Pets: ________________________________
Favorite Food: ______________________ Hobbies: ____________________________
Sponsored By: __________________________________________________________
Brothers/Sons:__________________________ Sisters/Daughters: ________________
Ambition: ______________________________________________________________
Favorite TV Program, Movie or Book: _____________________________________
What are two interesting facts about the contestant that you would like to share:_________________________________________________________________________________________________________________________________________________________________________________________________________________
===============================================================
OPTIONAL TALENT FORM
(All Talents music/tapes must be turned in upon arrival at the registration desk)
Contestants Name: ____________________________________Age Division:_______
Description of talent (check one): Song____Dance____Musical Instrument____
Baton____Other(Explain)_________________________________________________
Musical selection:___________________________________
If a CD or tape submitted (Track #) ___________________
I will need the following: Microphone____Stand____Hand____None____
Time of Talent:________________ (Can not exceed 2:59)
Release Form
Form MUST be signed by Parent/Guardian before Entry into the Missouri Competition
As the parent/legal guardian of _________________________________ , a contestant in the Missouri Our Little Miss Competition, I do hereby agree to abide by the rules and regulations, Directives and provisions for contestants set forth in the official contestants Handbook set by Missouri Our Little Miss. I agree to hold Our Little Miss Competitions/Missouri, its Directors and staff members and the City holding the pageant harmless of any damages and liabilities due to theft, accident or injury resulting from my childs participation in the competition. I accept the responsibility for the regulations of hours and personal activities of the contestant. I also affirm that all of the enclosed forms are true to the best of my knowledge and belief, including name, birthday, city and state of residence. I understand any false or misleading statements will be sufficient reason for dismissal from the pageant system. I further agree that if my child is selected Winner or captured on tape in any activity during the competition, she will be allowed to appear in the taped segments. I further agree that my child may appear in any taped segments or printed advertisements for Our Little Miss in the future without compensation after said competition. Any contestant caught in any unsportsmanlike conversations, or unruly acts of temper will be warned of the consequences of being dismissed from the pageant system. There will be no second chance if anyone is caught deliberately causing harm, either physical or verbal, and will be automatically dismissed from any sanctioned events of Missouri Our Little Miss Pageant System. I understand that no refunds will be given on deposits. I understand any official winner of the Missouri Our Little Miss is required to attend Missouri Our Little Miss State competition to be held on June 2,3 and 4, 2006 in Columbia, Missouri. I also understand that if an official Winner of Our Little Miss does not enter the Missouri State Competition, they must forfeit and return all winnings and titles of Our Little Miss back to the Missouri Director.
__________________________________ __________________________ __________
Signature Relationship Date
Forms are to be typewritten or printed only and mailed to Angie Dunn, Our Little Miss State Director. No checks accepted after 10 days prior to competition. Make checks Payable to Angie Dunn/Our Little Miss.
MAIL TO: Angie Dunn, PO Box 57, Henrietta, MO 64036
EMAIL forms to: showmemidwestOLM@yahoo.com Phone: (816) 494-5556
Paypal entry fees to: allthatisright@mchsi.com
Name___________________________________________________________________
First Middle Last
Address _________________________________ City___________________________
State____________ Zip __________ EMAIL _______________________________
Phone ____________________________ Birthday ____________________________
Circle one: Baby Petite (0-24mo), Miss La Petite (3-6yr), Our Little Miss (7-9yr), Our Little Miss Pre Teen (10-12yr), Ideal Miss (13-17yr), Universal Girl (18-28yr), and Universal Ms. (29-up or married/has been married or has had child)
Official Package:
(Includes formal/party dress, sportswear/
casual wear, On Stage Question, Personality
Plus title) $50________ (Must enter Official to be in competition!)
Winners and Official title holders in all Divisions MUST advance to the State level in order to retain title.
Division Title Holders, Personality Plus winners, Talent winners and Alternates win their entry fee paid to the State Competition
Prettiest Eyes $20_______
Prettiest Hair $20_______
Prettiest Smile $20_______
Package: Enter all 3 for $50 $50---_______
Optional talent: $25_______
Optional Photogenic: 2 Pictures Only $25_______
Additional Photogenic $5x_______ = ________
(Continued on next page)
High High Point: (Combination of all scores
Including all Optional events) $20_______
Supreme Package (described above) $75________
Early Payment (__________)
Referral Discount (__________)
Sibling Discount (_________)
Total funds due at registration: ____________
Referred By: ________________________________________
No Personal Checks Accepted at Time of Registration
High Point (combination of Supreme Package scores, Talent and Photogenic)
$100 Savings Bond
Crown
Trophy
Banner
Special Gift
$200 State Title Fee Paid
Division Queens (all age groups)
Crown
Trophy
Banner
Special Gift
$200 State Title Fee Paid
Personality Plus
Trophy
Special Gift
$200 State Title Fee Paid
Division Alternates
* Special Award
Special Gift
$200 State Title Fee Paid
Optional Overall Talent (0-6) (7&up)
Crown
Trophy
Banner
Special Gift
$200 State Title Fee Paid
Overall Photogenic (0-6) (7&up)
Trophy
Special Gift
$200 State Title Fee Paid
Overall Fashion (0-6) (7&up)
Trophy
Special Gift
$200 State Title Fee Paid
Divisional Side Awards (all divisions)
Medals
Gift
$200 State Title Fee Paid
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