Salem Apple Butter Festival
Jr. Miss 7-9 Preteen 10-12 Doddridge & Harrison Residents
Name
First Name
Last Name
Parents/Guardians
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Birthdate
-
Month
-
Day
Year
Date
School
Grade
Age
Hair Color
Eye Color
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Future Goals/Ambitions (up to 3)
Special Interests and hobbies (up to 3)
Who do you most admire and why?
School/Community Activities (up to 3)
Three words that best describe yourself
What would make you a good representative for the Salem Apple Butter Festival?
Please Chose a payment method
Please Select
Salemapplebutterfestival.com Jr Miss Tab
Meet with Cash (304-871-1807)
Drop off at the Apple Butter Shop On Main Street in Salem
Mail a Check made out to the Salem Apple Butter Festival
Please note that your registration will not be complete if application and payment are not made by Sept. 15th, 2024
Contestant's Signature
Parent's Signature
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