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Date Posted: 09:30:36 06/27/05 Mon
Author: n/a
Subject: Miss Tri-State Red, White, & Sparkle

Miss Tri-State
RED, WHITE, & SPARKLE
JULY 1, 2005
Time: 6:30p.m. Registration: 5:45-6:20 P.M.
Place: Powell Valley Middle School Big Stone Gap. Va
ATTIRE: PATRIOTIC WEAR (Red, White, & Blue)
ENTRY FEE $50.00
Sibling discount $25.00
ENTRY DEADLINE: Deposit by June 28, 2005
�NO ONE GOES HOME EMPTY HANDED! Everyone will receive
a nice award!�
AWARDS:
All Supremes & Queens: Beautiful Crown, Custom Sash,
Custom Award & Gift!!
ALTERNATES: Custom Award, & Gift.
OPTIONAL AWARDS: Most Beautiful; Best
Personality/Model; Best Patriotic Wear;
Rising Star: per age division
*Mandatory!!! Mail entry forms and $25
deposit to: Drop Off At
Kendra Adkins OR Henrietta Hensley OR Video
Image
70 Vates Branch 107 Bush Drive
Indian Creek Shopping Center
Whitesburg, KY 41858 Whitesburg, Ky 41858 Pound,
Va.
MONEY ORDERS ONLY made payable to one of Directors. OR
PAYPAL:
SALEEN079@BELLSOUTH.NET
ANY QUESTIONS: Please feel free to contact Directors
after 5pm
Email: misstristatepageant@yahoo.com
HENRIETTA HENSLEY: 606-633-0347
KENDRA ADKINS: 606-633-8783
www.geocities.com/misstristatepageant
Overalls & Supreme Titles & Princess will be offered
at the door!
(Princess-offered per age division to the contestants
who enters and receives
the next highest score below Queen.
Audience Choice Supreme: Large Crown
(Contestant with most wishes)
Audience Choice per Division: Crown
(Contestant with most wishes per age division)
Votes are $1 and can be collected prior to pageant and
brought with you

ENTRY FORM & MC SHEET
PLEASE PRINT CLEARLY AND RETURN WITH ENTRY FEE
AGE DIVISIONS
GIRLS __ 0-12mo., __13-23mo.,
__2yrs.,___3yrs.,___4yrs.,__5-6yrs., ___ 7-8yrs.,
__9-10yrs., __11-12yrs., __13-15* We reserve the right
to combine or separate
age groups.
CONTESTANT#: _____NAME:________________________ AGE:
_____ BIRTHDATE;
______________
ADDRESS:_____________CITY:_________ST____ZIP_____
TELEPHONE:____________ EMAIL: ___________________
PARENTS: ________________________________________
HAIR:____EYES:_____FAVORITE COLOR:______PET:______
HOBBIES: _______________________________________
AMBITION:_______________________________________
SPONSORED BY: __________________________________
Again this contestant is #____,
________________________
Release:
I hereby release Henrietta Hensley, Kendra Adkins,
Directors of Miss Tri State
Pageants or any staff members, and facility from
responsibility of theft, accident, injury or illness from my(our) participation
in this pageant. I
agree to act in a positive manner and will maintain
good sportsmanship at all
times. All decisions are final. I agree that any
videos or photographs taken
during or after the pageant may be used for any future
publicity or advertising
purposes. I certify information contained on this
application is true and
correct. I understand that incorrect information will
result in forfeiture of
all titles and awards.
PAREANT/GUARDIAN:
_____________________________DATE________

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