Rock n’ Roll Divas Entry Form:
Name:_______________________________________________
Age:_____ Color of Hair:___________ Color of eyes:_________ Birthdate:___________
Parent’s Names: _______________________________________
(0-3) What music star does your child most resemble:
____________________________________________________________
(4 & up) What music star would you most like to go on tour with:
_____________________________________________________________
What music do you like best:
_____________________________________________________________
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’s signature_______________________________ Date:___________
Address: _____________________________________
Phone Number (s):_______________________________________________
Email: _______________________________________
CATEGORY (PLEASE CHECK)
PLEASE CHECK CATEGORIES IN WHICH YOU WILL COMPETE AND RETURN ENTRY FORM WITH PAYMENT.
____BEAUTY (Deadline FEB.18th. ) $45.00
____SIBLING DISCOUNT $5.00
