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Subject: Application for Firecracker Pageant


Author:
Karen
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Date Posted: 16:28:55 05/05/14 Mon
Author Host/IP: NoHost/24.231.19.0
In reply to: Karen 's message, "Ripley 4th of July and Firecracker Pageant - June 21 - Applications are now available" on 07:54:47 04/16/14 Wed

Ripley Firecracker Children’s Pageant
June 21, 2014
Ripley High School
#2 School Street, Ripley, WV

Age Divisions: Girls 8:30 AM Sign In (0-11 months) (12-23 months)
Boys 8:30 AM Sign In (0 – 4 Years)

Girls - 10:30 AM Sign In (2–3 years old) (4 -6 years old)

Pageant Dress Code Babies through Age 6 : Church or Pageant Dress, Can also be Off the Rack 4th of July Attire

Divisions combined if less than three. Pageant Open to anyone. DEADLINE TO ENTER: 6/14/13

Entry Fee: $35.00 includes 5 optionals - 2 High Point Queens - 1 High Point King (must have 5 to give this award)

FAN FAVORITE RECEIVES A CROWN & CASH Award: $1.00 PER VOTE - (Collect In Advance – turn in at Registration)

All girls receive a tiara and boys receive medals.
Complete the attached application and mail with entry fees (Cash / Check / Money Order ONLY) to:

Karen King, Ripley Firecracker Pageant, 55 Maple Drive, Evans, WV 25241

If you have questions or need an application call: 532-1698 or 304-532-4847 or Email: kking1965@yahoo.com

PROCEEDS BENEFIT: Ripley 4th of July Queen’s Pageant
------------------------------------------------------------
Entry Form
PRINT NEATLY OR TYPE

Child’s Name: ________________________________________Parents / Guardian Name(s)______________________________
Mailing Address______________________________________________________________________________________________
Phone_________________ Cell_________________ Email:_____________________________________________ Male/Female
Date of Birth___________________ Age ________________Hair Color__________________ Eye Color:_________________
Favorite Toy ________________________________________________________________________________________________
(3) Favorite Foods____________________________________________________________________________________________
Favorite TV Show____________________________________________________________________________________________
Two words that describe you: ____________________ and ______________________
School Attending (3 – 6 year olds ONLY)_________________________________________________________________________
School & Community Activities (5 years and up ONLY) ____________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Favorite Thing About The 4th of July:____________________________________________________________________________
___________________________________________________________________________________________________________
Sponsored by (other than parents)________________________________________________________________________________

A $35.00 non-refundable entry fee for the contestant must be included with the entry form. Please make checks or money orders payable to Karen King. Numbers assigned by entry postmark. DEADLINE TO ENTER – 6/13/14. I fully understand and agree that Directors and Volunteers of the Ripley 4th of July Pageant, Ripley High School or the Jackson County Board of Education cannot be held liable for any injuries, damages or losses during this event.

____________________________________________/______________________________________________/________________
Contestant Signature & Parent’s Signature if under age 18 Date

RECEIVED:__________________________ CASH / MONEY ORDER / CHECK No.__________________

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