


2009 Miss Alabama Palm State Pageant Teen & Miss Application
APPLICATION FOR TEEN AGES 13 TO 16 & MISS AGES 17 TO 23
(MUST SUBMIT ORIGINAL APPLICATION PLUS 4 COPIES FOR THE JUDGES)
FULL NAME ___________________________________________________________________________________
PREFERED NAME _____________________________________BIRTHDAY ____________________ AGE ______
PARENTS NAMES ______________________________SPONSORED BY _________________________________
REPRESENTING (Pageant, City, County, College, etc.) ______________________________________________
HOME MAILING ADDRESS ________________________________________CITY __________________________
STATE _______ZIP ________ E-MAIL ______________________________PHONE # (______) ________________
REPRESENTING (Pageant, City, County, College, etc.) ______________________________________________
SCHOOL _______________________________CITY ______________________STATE ______ZIP ____________
COLLEGE ___________________________________________________CITY _____________________________
COLLEGE MAJOR _________________________________STATUS/GRADE _____________ GPA ____________
PLATFORM SPEECH SUBJECT __________________________________________________________________
ORGANIZATIONS ______________________________________________________________________________
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HONORS _____________________________________________________________________________________
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SPECIAL TRAINING ___________________________________________________________________________
CURRENT OCCUPATION ___________________________FAVORITE HOBBY ____________________________
PREVIOUS TITLES ____________________________________________________________________________
CURRENT TITLES _____________________________________________________________________________
FAVORITE CHARITY ____________________________________________________________________________
MOST VALUABLE LESSON LEARNED IN LIFE ______________________________________________________
______________________________________________________________________________________________
HOW DO YOU INTEND TO USE YOUR COMMUNICATION SKILLS AS MISS ALABAMA PALM IN FLORIDA: ____
______________________________________________________________________________________________
WHY DID YOU ENTER THIS PAGEANT: ____________________________________________________________
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WHAT IS YOUR GOAL IN LIFE ___________________________________________________________________
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ADDITIONAL INFORMATION ____________________________________________________________________
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.
_______ PRETTIEST 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 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 ADMISSION TICKETS $5.00ea. # Tickets_______ Total $ ______________ (Save 50%)
(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 FLORIDA PALM STATE PAGEANT TO USE MY DAUGHTERS PICTURE FOR PUBLICITY.
__________________ ____________________________________ ___________________________________
DATE PARENT OR LEGAL GUARDIAN CONTESTANT
Return Application & Signed Rules to: Yadira Prowant, Director
Make Checks payable to: Yadira Prowant
Send Application to: Prowant's 10177 N.W. Prowant Ln., Clarksville, FL. 32430
Copyright © 2007-2009 Prowant's. All Rights Reserved.