Name:___________________________ DOB:_____________________________

Parents:___________________________Telephone:________________________

Address:_________________________________ City:______________________

State:_________ Zip:________E-Mail:___________________________________

Hair Color:______________Eyes:______ Best Friend:_______________________

Favorite Food:__________________Favorite Person:________________________

School Attending_____________________________________________________

Hobbies:____________________________________________________________

___________________________________________________________________

Sponsored By:______________________________________________________

I understand and agree that the Director, nor the place of staging, will be held responsible for nay accident, injury, theft or personal loss incurred at the pageant or in transit to and from the pageant.  I also agree and understand that the Judges decisions are final and poor sportsmanship will NOT be tolerated.

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Parents/Guradian Signature