APPLICATION
AGE DIVISION__________________CONTESTANT #____________
NAME:_________________________AGE______DOB_____________
PARENTS:____________________________HOME#______________
ADDRESS____________________________CITY_________________
STATE:____________________ZIP:____________________________
HAIR COLOR____________EYES:__________E-MAIL___________
SCHOOL ATTENDING______________________________________
HOBBIES__________________________________________________
FAVORITE FOOD__________________________________________
FAVORITE PERSON________________________________________
SPONSORED BY:___________________________________________
TEEN, MISS, MS OR MRS QUESTIONS
ANSWER THE 3 QUESTIONS BELOW AND ONE AT RANDOM WI BE ASK!!!!!!!!!!!!!!!!
HOW DO YOU DEFINE SUCCESS?
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WHAT IS YOUR AMBITION OR GOAL, AND WHY?
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WHO DO YOU ADMIRE THE MOST AND WHY?
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PLEASE READ
I UNDERSTAND AND AGREE THAT THE DIRECTORS, NOR THE PLACE OF STAGING, WILL BE HELD RESPONSIBLE FOR ANY ACCIDENT, INJURY, THEFT OR PERSONAL LOSS INCURRED AT THE PAGENT OR IN TRANSIT TO AND FROM THE PAGEANT. I ALSO AGREE AND UNDERSTAND THAT THE JUDGES DECISIONS ARE FINAL AND POOR SPORTSMANSHIP WIL NOT BE TOLERATED.
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PARENTS/GUARDIN SIGNATURE
MAKE CHECKS PAYABLE TO VICKEY DIMATTIA
MAIL ENTRIES TO: VICKEY DIMATTIA P.O. BOX 1241 INDEPENDENCE LA 70443
