2026 ALTERNATE Dairy Princess Application

2026 ALTERNATE Dairy Princess Yearly Application

*Princesses completing this application are committing to attending the ENTIRE Dairy Princess Training Seminar, July 7-10, 2026. There is a $20.00 non-refundable deposit per registration. If you cannot commit to training seminar dates, you should plan to attend Fall Training, November 14th.
County*
Name*

First NameLast Name
Nickname
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home Phone Number (or parent's number)

Area CodePhone Number
Cell Phone Number (if applicable- or parent's number)*

Area CodePhone Number
T-shirt Size
Birthday*

MonthDayYear
Date
Age (As of 6/1/2026)*
Mother's Name*

First NameLast Name
Father's Name*

First NameLast Name
Parents Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Cell Phone (if different from above)

Area CodePhone Number
Sibling's name(s) and age(s)
Grade in School in Fall 2026*
High School
Graduation Date*

MonthDayYear
Date
College (Attending or planning to attend)
College Course of Study
Plans for Fall 2026
Employer (if employed)
YesNo
If yes, what title and when?
Own Dairy CattleDairy Farmer's ChildRelated to Dairy Farmer/IndustryFamily member manages/works on a dairy farmOther
Farm Name
Years on Farm
Cows- Breed(s)
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) *
YesNo
If yes, do you hold any leadership roles or awards?
YesNo
If yes, what chapter and do you hold any leadership roles and awards?
YesNo
If yes, what sports do you participate in?
Do you have any additional hobbies or interests?
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 8-10th. 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
Signature of Participant*

Clear
Signature of Parent/Guardian*

Clear
YesNo
YesNo
If yes, please list the name of your chaperone.

First NameLast Name
If a chaperone is attending seminar with you, please have them complete this form by June 1st: https://form.jotform.com/padairy/2026-seminar-adult-registration
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: *
I agree
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 15.
Should be Empty:

2026 ALTERNATE Dairy Princess Yearly Application

Registration Fee