FREE PAGEANT REGISTRATION AT 1:00 PM AND PAGEANT STARTS AT 2:00 PM
EVERYONE WILL BE REQUIRED TO PAY DOOR ADMISSION OF $7.00 EACH INCLUDING CONTESTANT NO EXCEPTIONS!

FIRST NAME: ________________________ LAST NAME: ____________________

PARENTS: ___________________________ DATE OF BIRTH __________________

HOBBIES & INTERESTS: _________________________________________________
___________________________________________________________________________________________________________________________________________
ADDRESS: _____________________________________________________

CITY: __________________STATE:________ZIP: __________

EMAIL: ____________________________ TELEPHONE: _______________________

BABY TINY LITTLE PRINCESS PETITE
(under1) (1 YEAR) (2 & 3 YEARS) (4-6 YEARS) (7-10 YEARS)

JUNIOR TEEN MISS MRS.
(11 & 12 YEARS) (13-17 YEARS) (18-22 YEARS) (23 and Up)

BEAUTY - FORMAL WEAR OR SUNDAY DRESS FOR BOYS AND GIRLS. WINNERS WILL RECEIVE A TIARA, SASH AND GIFT.

BOYS DIVISION: (0-5) & (6-10) KING AND 1ST RUNNER UP IN EACH DIVISION.
WINNER TO RECEIVE A KING CROWN, SASH AND GIFT.

OPTIONALS FOR BOYS TO INCLUDE: PRETTIEST HAIR, BEST DRESSED, PRETTIEST SMILE, AND PRETTIEST EYES. WINNERS TO RECEIVE A SATIN SASH.

OPTIONAL CATEGORIES & AWARDS: AGE GROUPS SAME AS BEAUTY. JUDGED DURING GROUP LINE UP! WINNERS WILL RECEIVE A SATIN SASH.

BEST DRESSED _____________. PRETTIEST EYES____________

PRETTIEST SMILE ______________ PRETTIEST HAIR ____________

OUTFIT OF CHOICE IS YOUR CHOICE: ANYTHING GOES USE YOUR IMAGINATION YOUR CHOICE.
BOYS AND GIRLS. WINNERS TO RECEIVE A SATIN SASH.

SUPREME TITLES: WE WILL HAVE TWO SUPREME TITLES. BOYS AND GIRLS. WINNERS WILL RECEIVE SASH AND A TIARA.

YOU CAN ALSO SELL GOOD LUCK TICKETS FOR $1.00 EACH. THE CONTESTANT SELLING THE MOST GOOD LUCK TICKETS WILL BE AWARDED A TIARA AND SASH. ANY CONTESTANT SELLING 40 OR MORE GOOD LUCK TICKETS WILL ALSO BE AWARDED A TIARA AND SASH!

VIEWER’S CHOICE: THIS TITLE IS VOTED ON BY THE AUDIENCE BEFORE AND DURING THE PAGEANT. EACH VOTE IS $1.00. WINNER WILL RECEIVE A SASH, AND TIARA OR CROWN. BOYS AND GIRLS.

THE PAGEANT WILL BE TO BENEFIT THE WAYSIDE CHRISTIAN MISSION PLEASE BRING GENTLY USED OR NEW CLOTHING ITEMS OR TOYS. THE MISSION CAN ALSO USE PAPER AND HYGIENE ITEMS. THE CONTESTANT BRINGING THE MOST ITEMS WILL RECEIVE A TIARA.

WE WILL TAKE ENTRIES UP TO FIFTEEN MINUTES BEFORE THE PAGEANT BEGINS.
CONTESTANT OR LEGAL GUARDIAN (IF UNDER 18) AGREES TO THE FOLLOWING BY SUBMITTING THIS FORM. THE JUDGES AND TABULATORS DECISIONS ARE FINAL. BEAUTIFUL MISS RESERVES THE RIGHT IF THERE ARE LESS THAN FOUR CONTESTANTS IN AN AGE GROUP TO MOVE THE CONTESTANTS UP OR DOWN ACCORDINGLY.YOU UNDERSTAND THAT EVERYONE IN YOUR PARTY INCLUDING THE CONTESTANT IS TO BE A GOOD SPORT AT ALL TIMES AND THAT BEAUTIFUL MISS RESERVES THE RIGHT TO RESCIND ANY TITLE AND REFUSE ENTRY TO ANY EVENT DUE TO BAD SPORTSMANSHIP OR NEGATIIVE BEHAVIOR/ACTIONS BY ANY TITLE HOLDER OR ANYONE IN THEIR PARTY. YOU UNDERSTAND THAT THE PAGEANT ENTRY FEE IS NON REFUNDABLE AND WILL NOT BE TRANSFERRED TO ANOTHER PAGEANT HELD BY BEAUTIFUL MISS SHOULD YOU NOT BE ABLE TO ATTEND. YOU AGREE TO ABIDE BY ALL RULES AND GUIDELINES AND SHOW RESPECT TO YOUR FELLOW CONTESTANTS AND OUR STAFF. YOU UNDERSTAND THAT SCORE SHEETS WILL NOT BE GIVEN OUT. YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THE PAGEANT RULES AND REGULATIONS.

SIGNATURE: ________________________________ DATE: ____________________

CONTACT INFO: JUDY @ 502-345-3337 OR
COX’S CREEK, KY 40013 AMY @ 502-644-2991