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Subject: CLICK IN FOR ENTRY FORM-PAGEANT WILL BE HELD IN LEXINGTON!


Author:
Kim Dawson-Director
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Date Posted: 09:48:23 09/19/11 Mon
In reply to: Kim Dawson 's message, "CHRISTMAS PAGEANT HELD ON NOVEMBER 29th!" on 09:35:33 09/19/11 Mon

BEAUTIES & BEAUS
CHRISTMAS PAGEANT

ENTRY FORM

PARENT(S) NAME AND ADRESS: ___________________________________________________________

PHONE NUMBER: _____________________________

CONTESTANT’S NAME:______________________________________________

DATE OF BIRTH: ________________________

AGE DIVISION: ___________

EYE COLOR: _________________
HAIR COLOR: _______________________

___________ FEMALE
_____________MALE

INTERESTS AND HOBBIES: ___________________________________________________________
___________________________________________________________
THREE WORDS THAT BEST DESCRIBES THE CONTESTANT:
___________________________________________________________

SPONSOR(S): __________________________________________________________

_________ Entry Fee = $75.00
_________ Overalls (Optional) = $25.00
_________ Good Luck Wishes (Optional)
_________ Glitz Photogenic Contest ($5.00 per photo) _________ Total Enclosed

I accept personal checks and money orders. Please make all money orders and checks payable to Kim Dawson and mail the entry form and money order to:
Kim Dawson
13 Burford Drive
Poca, West Virginia 25159

I agree to not hold Kim Dawson or the Sleep Inn 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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