


2009 Miss Alabama Palm Baby Miss - Junior Application
2009 Miss Alabama Palm State Pageant
APPLICATION FOR: Baby 0-23 Months, TEENY AGES 2 TO 3, TINY AGES 4 TO 6, LITTLE AGES 7 TO 9, & JUNIOR AGES 10 TO 12 YRS
(MUST SUBMIT ORIGINAL APPLICATION PLUS 1 COPY FOR THE EMCEE)
FULL NAME ________________________________________________________________________________
PREFERED NAME _____________________________________ BIRTHDAY _________________ AGE ______
SPONSORED BY ____________________________________________________________________________
REPRESENTING (Pageant, City, County, College, etc.) _________________________________________________
PARENTS __________________________________________________________________________________
MAILING ADDRESS_______________________________________________ CITY ______________________
STATE ________ ZIP ____________ E-MAIL ______________________________________________________
TELEPHONE _(______)_____________________ SCHOOL _____________________________GRADE ______
HOBBIES ___________________________________________________________________________________
____________________________________________________________________________________________
HONORS ___________________________________________________________________________________
____________________________________________________________________________________________
WOULD MOST LIKE TO MEET __________________________________________________________________
WOULD MOST LIKE TO VISIT __________________________________________________________________
FAVORITE TV SHOW ______________________________ FAVORITE MOVIE STAR ______________________
FAVORITE FOOD _________________________________ FAVORITE COLOR ___________________________
SOMETHING SPECIAL OR UNIQUE ABOUT YOU ___________________________________________________
_____________________________________________________________________________________________
CURRENT TITLE ______________________________________________________________________________
Early registration Entry Fee is $75.00 & must be postmarked by TBA________.
Entry fee is $100.00 for at Large Contestants & must be postmarked on or before TBA________ & include all money, ads & photos.
Applications postmarked after TBA__________ will be accepted until final deadline TBA________, however the entry fee
will increase to $125.00.
Entry Fee is only $50.00 for Reigning Palm Prelim Queens & $75.00 for Queens of any other Pageant within Alabama.
MY ENTRY FEE IS: _______________
I AM ENTERING THE FOLLOWING OPTIONALS AT $10.00 EACH! OR ALL 7 FOR $50.00.
_______ PRETIEST SMILE _______ PRETTIEST EYES _______ BEST ATTIRE _______ PRETTIEST HAIR
_______PRETTIEST FACE _______ BEST PERSONALITY _______ PHOTOGENIC - AT $10.00 EXTRA FOR EACH. UP TO 4.
(OPTIONALS) = $ _______
ONE $25.00 GOOD LUCK AD (MANDATORY/MINIMUM) $ _______ .
IF COMPETING FOR MISS ALABAMA TROPICAL PALM HOSPITALITY STATE QUEEN. (10 ad minimum for eligibility in competition.)
# OF ADS SOLD _________ X $25.00 = $____________
IF COMPETING FOR LITTLE OR JUNIOR MISS ALABAMA TROPICAL PALM STATE QUEEN TITLE $30.00 $ ________ OPTIONAL
PROGRAM BOOK $10.00 $ __________ OPTIONAL
PHOTO CD WITH ALL PICTURES OF CONTESTANT $10.00 $ ___________ OPTIONAL
DVD OF PAGEANT $25.00 $___________ OPTIONAL
(DVD & PHOTO CD) $30.00 $ __________ OPTIONAL (A $5.00 Savings)
PREPURCHASE PAGEANT ADMISSION TICKETS $5.00ea. # OF Tickets_______ Total $ ______________
(Will be given out at Rehearsal)
QUEENS SOCIAL & BALL. Tickets $5.00 ea. # of Tickets _____ Total $ ___________
Tickets will be given out at rehearsal.
TOTAL ENTRY FEE $ _______
Miss Alabama Tropical Palm Ambassador State Queen competition comes from the Peoples Choice $1.00 votes.
Start collecting your $1.00 votes now & turn in with your application. Money Turned in at Pageant will be added
to this amount.
Amount paid toward Ambassador Queen with Application $________________
I certify by my signature below, that I have read, understand and will comply with the Pageant rules and regulations
set forth below and on the pageant website at www.prowant.net rules and information page. CONTESTANTS AGREE
TO HOLD HARMLESS THE MISS ALABAMA PALM PAGEANT, THE MISS FLORIDA PALM PAGEANT, THE DIRECTORS,
THE VOLUNTEERS, THE LOCATION OF THE PAGEANT AND ITS HOLDINGS FROM DAMAGES INCURRED THROUGH LOSS, THEFT,
OR INJURY CAUSED BY OR DURING HER PARTICIPATION OR TO AND FROM THE PAGEANT OR ANY RELATED EVENTS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE OFFICIAL RULES AND REGULATIONS SET FORTH BY THE PAGEANT AND
THAT I WILL COMPLY WITH THEM IN EVERY WAY, AND THAT THE PERSONAL DATA THAT I HAVE SUBMITTED IS TRUE AND
CORRECT. I GIVE PERMISSION FOR MISS ALABAMA PALM STATE PAGEANT TO USE MY DAUGHTERS PICTURE FOR PUBLICITY.
PLEASE SIGN BELOW.
____________ ______________________________ ____________________________
DATE PARENT OR LEGAL GUARDIAN CONTESTANT
Return Signed Application to: Yadira Prowant, Director
Make Checks payable to: Yadira Prowant
Send Application to: Prowant's 10177 N.W. Prowant Ln., Clarksville, FL. 32430
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