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Subject: Click for Entry Form.


Author:
Kim Dawson-Director
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Date Posted: 13:12:03 05/22/12 Tue
In reply to: Kim Dawson-Director 's message, "READY FOR A NEW PAGEANT SYSTEM-COLUMBUS? WANT JUDGES THAT ARE COMPLETELY NEAUTRAL, ALL RESIDING IN WEST VIRGINIA?" on 13:10:08 05/22/12 Tue

BEAUTIES & BEAUS
DOUBLE HEADER PAGEANT (COLUMBUS)
ENTRY FORM
NATURAL ____________ GLITZ _______________ BOTH ________________
Parent(s) Name: _______________________________________________________________________
Address: _____________________________________________________________________________
Email: _______________________________________________________________________________
Phone Number: _______________________________________________________________________
Contestant’s Name: ____________________________________________________________________
Male _________ Female ______________
Date of Birth: _____________________________________
Age the day of the Pageant: __________________________
Contestant’s Nickname (What they want to be called on stage) ________________________________
Contestant’s favorite color: __________________________
Contestant’s favorite food: ________________________
Interests & Hobbies: _________________________________________________________________
3 words that best describes the Contestant: ____________________________________________
SPONSOR(S): ___________________________
_________ Entry Fee = $75.00
_________Entry Fee if doing both pageants = $125.00
_________ Overalls (Optional) = $25.00
_________ Outfit of Choice (Optional)= $25.00
_________Glitz Photogenic (Optional) $5.00 per photo
_________ Good Luck Wishes (Optional)
_________ Total Enclosed
I accept PayPal (please send it as a gift or pay the 4%), Money Orders and Personal Checks. If I receive a check for insufficient funds, I will hold that person responsible for paying back all fees that my bank will charge me. Please make all money orders and personal checks payable to Kim Dawson and mail the entry form and check or money order to: Kim Dawson, 13 Burford Drive, Poca, WV 25159.
I agree to not hold Kim Dawson or the venue chosen liable for any injuries or stolen items. I also agree to conduct myself in such a manner that will not be considered as unsportsmanlike conduct. I acknowledge that if I should do so, I will be asked to leave and I will do so accordingly.
____________________________
PARENT(S) SIGNATURE & DATE

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