COPY AND PASTE OR PRINT
PINK LIGHTS OF PARIS 2010
"STARRING THE WV RUNWAY MODEL CHALLENGE"
(CUSTOM CROWN PAGEANT)
DEADLINE FOR ENTRY MARCH 15, 2009
CONTESTANT’S NAME________________________________________
*ADDRESS__________________________________________________________
PARENTS’ NAME (S)__________________________________________________
AGE:__________ COLOR OF HAIR ______________ COLOR OF EYES____________
Email:_____________________________ PHONE #________________________
DATE OF BIRTH: _________________________
WHAT WORLD CITIES WOULD YOU MOST LIKE TO VISIT (5 & UP): __________________________________________________________________________________
FAVORITE HOBBIES OR ACTIVITIES: __________________________________________________________________________________
Contestants/parents agree to hold harmless the pageant, directors, or volunteers from possible damages through loss, theft, or injury caused by or during her participation, or to and from the pageant or any related event. We also agree to display good sportsmanship at all time during and after the event. I will comply with this release in every way, and that personal data I have submitted is true and correct. Please sign below.
PARENT or LEGAL GUARDIAN___________________________________________DATE:___________________
CATEGORY (PLEASE CHECK)
____ BABY MISS (0-12mnths.) ____MINI MISS (13-23mnths..) ____TINY MISS (2-3 yrs.)
____TODDLER MISS (4-5 yrs.) ____ LITTLE MISS (6-7yrs.) ____ YOUNG MISS (8-10 yrs.)
____ JUNIOR MISS (11-12 yrs.) ____ TEEN MISS (13-15) ____MISS (16-18yrs.)
PLEASE CHECK CATEGORIES IN WHICH YOU WILL COMPETE AND RETURN ENTRY FORM WITH PAYMENT.
____BEAUTY $50.00
$50.00____DEPOSIT $25.00 Remainder due by deadline.
____EARLY BIRD (2/26 Deadline) $45.00
$45.00____PARIS RUNWAY MODEL CHALLENGE$15.00 (OPTIONAL)
$15.00 (OPTIONAL)MAIL APPLICATION TO:
APRIL LEWIS
128 PRICE STREET
ALDERSON, WV 24910
PAYPAL ADDRESS: april_lewis1972@hotmail.com
