| Name_____________________________________Age_____Birthday_________Division__________________#_____ | |||||||||||
| Email Address____________________________Address_________________________________________________ | |||||||||||
| City_____________________State_______Zip_______________Phone #____________________________________ | |||||||||||
| Parents or Spouse________________________________Sponsor__________________________________________ | |||||||||||
| Hair Color___________Eye Color_________Favorite Food____________________School/Job____________________ | |||||||||||
| Person Most Admired__________________________Hobbies/Activities_____________________________________ | |||||||||||
| ________________________________________________________________________________________________ | |||||||||||
| Ambition_________________________________________________________________________________________ | |||||||||||
| AS CONTESTANT, (OR GUARDIAN OF)____________________________________________, I DO HEREBY AGREE TO ABIDE BY THE | |||||||||||
| RULES & REGULATIONS OF THE MISS MARIETTA PAGEANT. I UNDERSTAND THAT THE DIRECTOR OR ANYONE ASSOCIATED WITH THE | |||||||||||
| MISS MARIETTA PAGEANT ARE NOT RESPONSIBLE FOR ANY LOSS OF PROPERTY, ACCIDENT OR INJURY INCURRED AT THE PAGEANT | |||||||||||
| OR DURING TRAVEL TO & FROM THE PAGEANT. I UNDERSTAND THAT THE WINNING & DELEGATE PHOTOGRAPHS WILL ONLY BE USED | |||||||||||
| IN THE PROMOTION OF THE MISS MARIETTA PAGEANT. I FURTHER AGREE THAT THE JUDGES DECISIONS ARE FINAL. | |||||||||||
| CONTESTANT OR GUARDIAN SIGNATURE | DATE | ||||||||||
| EVENTS ENTER: BEAUTY____ PHOTOGENIC____ TOTAL AMOUNT PAID $________________cash________ check #____________ | |||||||||||
