Little Miss Town and Country Days 2009
August 10, 2009
Name of Contestant:_____________________________________________
Name you wish used on stage:______________________________________
Name of Parent/Guardian:_________________________________________
Home Address:_________________________________________________
Phone:_________________ Birth Date:____________________________
Age:________ Height:_____________ Weight:________________________
Color of Hair:____________________Color of Eyes:___________________
School Attending:_______________________________________________
Grade:________________________________________________________
School and Community Activities:___________________________________
____________________________________________________________
____________________________________________________________
Special Interests, Activities or Honors:_______________________________
____________________________________________________________
____________________________________________________________
Three (3) Favorite Foods:_________________________________________
Most Prized Possession:__________________________________________
_____________________________________________________________
Sponsor:_____________________________________________________
I/We agree that the above information is true and correct to the best of my/our knowledge.
Date:________________ Signature:_______________________________
Parent(s) must also sign and date if you are under the age of 18 as of the pageant date.
Date:________________ Signature:_______________________________
Entry forms must be post marked by July 25, 2009. We will not accept any late applications. You will need to send this form along with a wallet size photo (black and white or colored) and your $30.00 sponsor fee. There will be no refunds on the entry fee.
This needs to be sent to Denise Klug
Rt 1 Box 213A
Proctor, WV 26155
Rules and Regulations
Age Limit: Contest must be 7 by August 10th and cannot have reached her 10th birthday by August 10th.
Must be a resident of Wetzel County (including the entire community of Paden City) and continue to be a resident throughout the reign of the selected queen.
Must participation in all the pageant activities including: practices, promotion, personal interviews, street wear, evening gown, and on stage interview.
$30.00 entry fee will be needed to participate in the pageant. Contestants must be sponsored by a local business, organization, parents, grandparents, other family members, friends, and anyone else that would like to sponsor them in the pageant. The entry fee must be sent in with the application or it won’t be accepted.
All Practices are Mandatory: If you do not show for the practice you will not be allowed to compete in the pageant.
There will be one practice and that will be on August 8th at 4:00.