2024 Dairy Princess Yearly Application
*Princesses completing this application are committing to attending the ENTIRE Dairy Princess Training Seminar, July 9-12, 2024 AND 2024 State Competition, September 19-21st. No exceptions will be granted. If you cannot commit to these dates, you should reconsider being Dairy Princess another year. If you commit to dairy princess and do not attend training seminar, you will be financially responsible for $275.00 and $400.00 for Princess Pageant. Additionally, there is a $20.00 non-refundable deposit per registration.
County
*
Adams
Allegheny
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Erie
Fayette
Franklin
Fulton
Huntingdon
Indiana
Jefferson
Juniata
Lancaster
Lawrence
Lebanon
Luzerne
Lycoming
Mercer
Mifflin
Montgomery
Perry
Potter/McKean
Schuylkill
Somerset
Sullivan
SUN Area
Susquehanna
Tioga
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming-Lackawanna
York
Name
*
First Name
Last Name
Nickname
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Home Phone Number (or parent's number)
-
Area Code
Phone Number
Cell Phone Number (if applicable- or parent's number)
*
-
Area Code
Phone Number
Birthday
*
-
Month
-
Day
Year
Date
Age (As of 6/1/2024)
*
16
17
18
19
20
21
22
23
24
T-shirt Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
Mother's Name
*
First Name
Last Name
Father's Name
*
First Name
Last Name
Parents Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Cell Phone (if different from above)
-
Area Code
Phone Number
Sibling's name(s) and age(s)
Grade in School in Fall 2024
*
9th
10th
11th
12th
College Freshman
College Sophomore
College Junior
College Senior
Out of School
High School
Graduation Date
*
-
Month
-
Day
Year
Date
College (Attending or planning to attend)
College Course of Study
Plans for Fall 2024
Employer (if employed)
City
Full-Time or Part-Time
Full-Time
Part-Time
How many hours per week?
Have you ever served as a junior representative or alternate?
Yes
No
If yes, what title and when?
What is your connection to the Pennsylvania Dairy Industry?
*
Own Dairy Cattle
Dairy Farmer's Child
Related to Dairy Farmer/Industry
Family member manages/works on a dairy farm
Other
Farm Name
Years on Farm
Cows- Breed(s)
Herd Size
Number Milking
Number owned by applicant
School Involvement (Sports, Clubs, etc.)
*
School Awards (Officer Positions, Scholarships, any type of award recognition, academic awards)
Church Activities (if applicable, youth group, teaching positions)
*
Community Involvement (Community Service)
*
Are you in 4-H?
Yes
No
If yes, do you hold any leadership roles or awards?
Are you in FFA?
Yes
No
If yes, what chapter and do you hold any leadership roles and awards?
Are you involved in sports?
Yes
No
If yes, what sports do you participate in?
Do you have any additional hobbies or interests?
In 200 words or less, please write a brief paragraph about yourself in third person (Parents, siblings, school and grade, place of employment, your farm, activities (clubs in school or community) & awards at school/community/4H/FFA, and hobbies or interests. Example: Sally Cow is the daughter of Bull and Sue Cow. She has one older sister and a younger brother and sister. Sally assists on her third generation family dairy farm, Cows Always Dairy Farm, and enjoys feeding calves and milking. She is a current Southern Area High School senior where she plays the flute in concert and marching band, a member of National Honors Society, and on the junior varsity soccer team. Sally will be a freshman at Penn State majoring in agriculture next fall. Sally is an active member in Cowville FFA serving as Sentinel as well as a member in Dairy 4-H. Additionally, she loves showing her Brown Swiss and Holstein cows and her sheep at county and state shows. Sally attends church at the Cowville Church of the Brethren and active in youth group. In her free time, she loves traveling, playing club volleyball, spending time with friends, and reading.
*
0/200
Please check the box if you as the Dairy Princess and Parent/Guardian have read the PDPPS Code of Conduct (found on the Member's Only section of the website and in the Dairy Princess Program Handbook), Dress Code and Program Handbook. I will carry out my responsibilities in accordance with the Pennsylvania Dairy Princess & Promotion Services, Inc. policies including attending the Dairy Princess Training Seminar July 9-12th and State Pageant, September 19-21st. I understand that my title may be removed if I do not satisfactorily follow these established standards.
*
I agree
Name of Participant
*
First Name
Last Name
Name of Parent/Guardian completing this application
*
First Name
Last Name
Please state any known allergies to medication, food allergies, or gluten intolerance
*
Please state any medications taken regularly (include doses)
Please list any medical conditions
Please list Family Doctor's (please leave out Dr./Mrs./Mr.) Name, Address, and Phone Number:
*
By checking this box I (we), hereby grant permission to Medical or Hospital Personnel to treat the above mentioned participant in any emergency which may arise while she is traveling or attending all activities associated with dairy promotion in their role as Dairy Princess, or Alternate during their reign. I (we), consent that from this day forward Pennsylvania Dairy Princess and Promotion Services, Inc. has full rights to release and publish all photographs in which the participant listed above appears in connection with her activities in the Pennsylvania Dairy Princess Program.
*
I agree
Please upload in a WORD document (will not upload unless it's a word document) THREE (3) recipes with AT LEAST 2 dairy products in a word file. It must be Size 12 font and Times New Roman font. BOLD each dairy product. Include your full name and County after each recipe. Recipes should be easy to make and economical and a favorite family recipe. Feel free to include a personal message with it. Do not submit more than one dessert recipe. Each recipe will be reviewed by a judge who will select five winners for the County Princess Royal Recipe Book. Do not submit recipes using margarine, cool whip, dream whip, or non-dairy/imitation products.
*
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Registration Fee
Please send (or have your county send) your $20.00 non-refundable registration fee to PDPPS, Training Seminar, PO Box 177 Laurelton, PA 17835 by June 1.
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