Form
Miss and JR. Miss Fair Queen Pageants
Pageant Director and Fair Board Member-Jenni Daniel 870.914.0961
Back
Next
Back
Next
CONTESTANT NAME:
*
First Name
Last Name
AGE:
*
BIRTHDAY:
*
Back
Next
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Back
Next
PARENTS:
*
SPONSORED BY:
*
Back
Next
HIGH SCHOOL EDUCATION:
*
COLLEGE EDUCATION:
*
IF YOU ARE NOT ENROLLED IN SCHOOL, PLEASE TELL US YOUR PLANS:
*
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?
*
Back
Next
My Products
prev
next
( X )
ENTRY FEE
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Back
Next
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.
Submit
Submit
Should be Empty: