Village Creek Festival Pageant Application

Contestant's Name:

Age on April 21, 2012:

Birthdate:

Parent's Name:

Street Address:

City:

State:

Zip:

Phone:

Alternate Phone:

If weather conditions are not favorable and the pageant needs to be moved inside, please provide us with a phone number on the application that you can be contacted at on Friday night or Saturday morning.

I have read and fully understand the rules of this pageant and will adhere to all rules.

Contestant Signature
Parent Signature

Checking the box is your signature and indicates agreement to all pageant rules.

Name of Parent Completing Application:

Date:

Master of Ceremony Form

Contestant's Name:

Eye Color:

Hair Color:

School:

Organized Extracurricular Activities:

Hobbies:

If you could travel anywhere in the world, where would you go and why?

Who is your role model and why?

Sponsored By: