Form
Miss, JR. Miss and Pre-teen Miss Fair Queen Pageants
870.904Pageant Directors and Fair Board Members-Missy Coats 870.904.7168 and Heather Burns 870.703.6281
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CONTESTANT NAME:
*
First Name
Last Name
AGE:
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BIRTHDAY:
*
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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PARENTS:
*
SPONSORED BY:
*
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HIGH SCHOOL EDUCATION:
*
COLLEGE EDUCATION:
*
IF YOU ARE NOT ENROLLED IN SCHOOL, PLEASE TELL US YOUR PLANS:
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GREATEST ACHIVEMENTS AND LEADERSHIP ACCOMPLISHMENTS:
*
THREE INTERESTING FACTS:
*
AMBITION FOR THE FUTURE:
*
Why do you wish to become the Columbia County Fair Queen and how will you utilize this title to shape your life as well as enhancing others' lives?
*
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ENTRY FEE
$50.00
$
50.00
Quantity
1
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10
Credit Card
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CONTESTANT or PARENT SIGNATURE: (If Contestant is below the age of 18) By signing below, Contestant/Parent/Guardian certifies that they have read, understand, and agree to comply with the Rules and Regulations of this contest and further assume all liability and responsibility for any loss, accident or injury resulting from participation in this event. Competition information and photos may be used for publicity purposes, no refunds will be given.
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