APPLICATION FOR BABY, TEENY, TINY, LITTLE, JUNIOR, AND MRS.
NAME___________________________________________________AGE______
BIRTH_______
PARENTS________________________________________________________________________
MAILING ADDRESS______________________________________PHONE_________________
EMAIL ADDRESS__________________________________________________
SPONSOR________________________________________________________________________
EYE COLOR:___________
HAIR COLOR__________
HEIGHT_________WEIGHT________
THREE WORDS TO DESCRIBE YOURSELF
____________ _____________ ___________
FAVORITES: COLOR_____________
FOOD_______________
TV SHOW________________
*AS THE PARENT/GUARDIAN OF________________________________,
I AGREE THE DIRECTORS, PAGEANT COMMITTEE,
TIFT THEATRE, DOWNTOWN DEVELOPMENT
AUTHORITY, OR ANY OF ITS HOLDINGS ARE NOT
TO BE HELD RESPONSIBLE FOR INJURIES, THEFT, OR
ACCIDENTS INCURRED DURING, TO OR FROM THE PAGEANT.
I ALSO AGREE THE JUDGES DECISIONS ARE FINAL AND
ARE NOT TO BE DISPUTED. I ALSO UNDERSTAND
THAT IF I ACT IN A DISORDERLY OR
DISRESPECTFUL WAY THAT I NOR MY
CHILD WILL BE ASKED TO PARTICIPATE IN FUTURE PAGEANTS.
________________________________________________- _____________________________________________________________________________
SIGNATURE OF PARENT/LEGAL GUARDIAN
SIGNATURE OF CONTESTANT 18 AND OVER
AGE DIVISION ENTERING_____________________
PRETTIEST DRESS________________
PRETTIEST SMILE________________
PHOTOGENIC_______________
BEST PERSONALITY________
PRETTIEST FACE___________
MISS AMBASSADOR___________
MISS HOSPITALITY__________________
TALENT AND TYPE OF TALENT________________________
NAME OF SONG______________________________________________________________________________
ALL ENTRY FEES MUST ACCOMPANY APPLICATION.
NO REFUNDS!!
DIANNE DOMINY -DIRECTOR 229-386-2681
MAIL APPLICATION AND FEES TO MISS GEORGIA PINE PAGEANT, 3005 CLOVER CIRCLE, TIFTON, GA. 31794