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________________
HOBBIES:______________________________________________________________________________________________________________________________________________________________________________
SPECIAL HONORS:_______________________________________________________________________________________________________________________________________________________________________________
SCHOOL ACTIVITIES:____________________________________________________________________________________________________________________________________________________________________________
AMBITION:_____________________________________________________________________________________________________________________________________________________________________________
*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_______________
PRETTIEST FACE________________BEST PERSONALITY_______________
MISS HOSPITALITY__________________MISS AMBASSADOR________
_TALENT AND TYPE OF TALENT________________________NAME OF SONG_________________________________________
ALL ENTRY FEES MUST ACCOMPANY APPLICATION. NO REFUNDS!!
DIANNE DOMINY -DIRECTOR 229-386-2681
MAIL ENTRIES TO MISS GEORGIA PINE PAGEANT,
3005 CLOVER CIRCLE, TIFTON, GA. 31794
TEEN AND MISS MUST SUBMIT ORIGINAL APPLICATION
ALONG WITH 5 COPIES FOR THE JUDGES
