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HayLeigh's Halos www.freewebs.com/hayleighshalos Please fill out info below this is the sheet the Emcee will use So Please Print Clearly Contestant # ___________ Age Division__________ Name________________________________ is the ____________ Year old daughter / son of__________________________________ of _________________. She / He has_________________hair and _____________ eyes. Hobbies are______________________________ Her / His favorite TV Show ______________________________________favorite dessert ______________________________________ Her /His favorite song is _______________________Her / His favorite person is ______________________________________________ Because _______________________________________________________ ambition _______________________________________________ attends school daycare at _________________________________ She/ He is sponsored by ____________________________ contestants address_______________________________________ Email_____________________________________________________________ I certify that all information on this application is correct. I understand that incorrect information will result in disqualification. I also understand that any bad sportsmanship by me or anyone connected to me will result in disqualification. The directors and staff of the pageant HayLeigh's Halos system will not be held responsible for any accidents (or) lost of items that occur before, during or after the event. I understand that there will be no refunds of any fees unless this pageant is canceled by the director and is not reschedule. I agree that judges decisions are final. I agree to pay a $35.00 service charge for any returned checks. No checks will be accepted 7 days before pageant, you will have to send money order or paypal. I give my permission for my childs name and photo to be used in Hayleigh's Halos advertising including website.I have read and fully understand the rules and regulations of this pageant Parent/Guardian Signature ___________________________________________________________________ Date ______________ I am entering Beauty $50.00 ____Glitz $50.00 ______ Choice of attire $15______ Mother/Daughter $25.00 _______ Mother/Son $25.00 ______Most Beautiful/Handsome $10_______ Snapshot $10________ Additional Snapshot $5_______ Best Hair, $5.00_____ Eyes, $5.00______ Smile, $5.00_______Dress/Attire $5.00______ Personality $5.00_____or $20 (For all 5) or $5 each Grand Supreme overalls $20.00 ______ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Applications will be taken up until May 10th, 2006 - Wednesday by 12:00 Midnight with a $52 Pay Pal Deposit. Or you may mail in your Registration and 50.00 Deposit but it must be here by 5/10/2006 you can mail entry fees and deposit to Amanda Thompson 493 Ponderosa Dr. Hamlet NC 28345, make checks payable to Amanda Thompson, NO CHECKS WILL BE ACCEPTED 7 DAYS PRIOR TO PAGEANT, MONEY ORDERS OR PAYPAL ONLY Or Entry in my hand.To Pay Pal address hayleighshalos@aim.com NO ONE CAN ENTER THE PAGEANT WITHOUT A PAID DEPOSIT. NO EXCEPTIONS WILL BE MADE FOR ANYONE !! IF YOU HAVE ANY QUESTIONS YOU MAY EMAIL ME AT hayleighshalos@aim.com for any thing, or call at 910-582-4014 check out our web site at www.freewebs.com/hayleighshalos One Chaperone will be admitted FREE with each contestant. Please send fees as soon as possible. You may enter the pageant with a $50 deposit ~ No one will be able to enter the pageant at the door.~ Cash Only at the Door

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