MISS FREEDOM Entry Form:


Name:_______________________________________________

Age:_____   Birth Date:___________Color of Hair:___________  Color of eyes:_________

Parent’s Names: _______________________________________

(0-5 yrs.) Favorite toy or activity:
_____________________________________________________________

(6 & up) 3 words to describe America:
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Why should our veterans be appreciated and remembered: (Parent or child may answer)
______________________________________________________________________________________________

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Names of servicemen or women, their branch of service, and their relation to the contestant, so we can remember them too: (Can be a current service member or one who has passed. Please limit to 5 if possible. You can also submit a picture of the service member with your application or by email. Pictures will be returned at the pageant if mailed.) You may add a sheet of paper to this application is needed.
Name:Branch of Service:Relation to contestant:Wars/conflicts Participation

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

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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. Contestant and parent agree to attend festival activities and required or agree to pass title and awards to next highest scoring queen or princess. 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)

____ BABY MISS (0-12mnths.)   ____MINI MISS (13-23mnths..)  ____TINY MISS (2-3)

____TODDLER MISS (4-5)      ____ LITTLE MISS (6-7)           ____ YOUNG MISS (8-9)

____ JUNIOR MISS (10-12)           

PLEASE CHECK CATEGORIES IN WHICH YOU WILL COMPETE AND RETURN ENTRY FORM WITH PAYMENT.

____BEAUTY (Deadline May 6th. )      45.00

____EARLY BIRD (April 8nd)     $40.00

____SIBLING DISCOUNT      $10.00 per additonal sibling in family.

MAIL APPLICATION TO:
APRIL LEWIS
128 PRICE STREET
ALDERSON, WV  24910
PAYPAL ADDRESS: lewisinteriorswv@yahoo.com



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