Prelim Application for Baby

Prowant's | home

Prelim Application for Baby - Little Miss

Miss ______________________ Palm Pageant

APPLICATION FOR: BABY 0-23 MONTHS, TEENY AGES 2 TO 3, TINY AGES 4 TO 6, & LITTLE AGES 7 TO 9

(MUST SUBMIT ORIGINAL APPLICATION PLUS 1 COPY FOR THE EMCEE)

FULL NAME ________________________________________________________________________________

PREFERED NAME _____________________________________ BIRTHDAY _________________ AGE ______

SPONSORED BY ____________________________________________________________________________

PARENTS __________________________________________________________________________________

MAILING ADDRESS___________________________________________________________________________

CITY ____________________________________________ STATE _____________________ ZIP ____________

E-MAIL _____________________________________________________________________________________

TELEPHONE _(______)________________________________________________________________________

SCHOOL ________________________________________ City _____________________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 ______________________________________________________________________________

Registration Entry Fee is $50.00 & must be postmarked by TBA & must include application, all money,

ad page (ready to be printed) & photos.

MY ENTRY FEE IS: ___$50.00___

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 with Photo for program (MANDATORY) from all contestants) $ ___$25.00___ .

This must be sent ready to be printed.

IF COMPETING FOR MISS ______________TROPICAL PALM TALENT QUEEN $30.00 $ ___________ OPTIONAL

IF COMPETING FOR MISS ______________TROPICAL PALM MODEL QUEEN $30.00 $ ___________ OPTIONAL

IF COMPETING FOR MISS ______________TROPICAL PALM SWIMWEAR QUEEN $30.00 $ ___________ OPTIONAL

ENTER ALL 3: TALENT, SWIMWEAR & MODELING FOR $75.00 $ ____________

SUPER SAVER ENTRY OF EVERYTHING ABOVE $150.00 ___________

TOTAL ENTRY FEE $ _______

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 PRELIMINARY PAGEANT I AM ENTERING, MISS FLORIDA PALM STATE 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 THE PRELIMINARY PAGEANT I AM ENTERING, AND THE MISS FLORIDA PALM STATE PAGEANT TO USE

MY DAUGHTERS PICTURE FOR PUBLICITY, ADVERTISEMENT AND PROMOTING THE PAGEANT SYSTEM.

PLEASE SIGN BELOW.

____________ ______________________________ ____________________________

DATE PARENT OR LEGAL GUARDIAN CONTESTANT

Return Signed Application to: Director

Phone# Email:

Make Checks payable to:

Send Application to: