Miss Teen Town and Country Days 2009
August 10, 2009
Name of Contestant:________________________________________________
E-mail Address:___________________________________________________
Name you wish used on stage:__________________________________________
Name of Parent/Guardian:____________________________________________
Home Address:___________________________________________________
Phone:_____________________ Birth Date:____________________________
Age:___________ Height:__________________ Weight:_________________
Color of Hair:_________________________ Color of Eyes:________________
High School or College Attending:_______________________________________
Year:__________________________________________________________
School and Community Activities:_______________________________________
Ambition:_______________________________________________________
Special Interests, Activities or Honors:____________________________________
Three (3) Favorite Foods:_____________________________________________
Three (3) Words to Best Describe Self:____________________________________
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 26055
Rules and Regulations
Age Limit: Contest must be 13 by August 10th and cannot have reached her 16th birthday by August 10th.
Must be unmarried and remain unmarried and have not had a marriage annulled throughout the reign of the selected queen.
Must not be pregnant nor get pregnant during the reign, nor have been pregnant or given birth to a child.
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, 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 1:00.