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  By submitting the application, as well as signing below, you agree to the following:


I, meaning the parent or guardian of the Miss Toombs-Montgomery County Pageant Contestant, understand that Kerri Samples, STC, or anyone associated with the pageant are not responsible for property damage, lost items, or personal injury that may occur to the contestant, myself, or anyoe in our entourage atending the pageant.  I also understand that the judges decisions are final and will not be disputed.  I certify that I understand all the Miss Toombs-Montgomery County rules and wll conduct good sportsmanship. I understand that there are NO REFUNDS, unless the pageant is cancelled.  I also understand that if there is not 2 or more contestants in a division, divisions may be combined at the discression of the director.  I also understand that no information will be given out prior to the pageant on any contestants, nor the number of contestants in the pageant.


 


 

2010 Miss Toombs-Montgomery County Scholarship Pageant

Baby thru Junior Application

Please submit Original and 1 copies. Please type(preferred) or print all information neatly and give complete information – this information will be used by the emcee to introduce your child.

Circle Age Division: Baby Teeny Tiny Petite Little Junior

Name:______________________________ Name called:_________________________

Address:________________________________________________________________

Date of Birth:_______________________ Age:________________________________

Parents:_________________________________________________________________

Email: _________________________________________________________________

Home Phone: _________________________ Cell Phone: ________________________

Other: ______________________________

Sponsor(s):__________________________________________________

Hair Color:________________ Eyes:___________

School/Nursery: ____________________________________________________________

Hobbies: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Talents and or Special Abilities:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Favorite Food: ___________________________________________________________

Favorite Song: ___________________________________________________________

What do you want to be when you grow up and why? _____________________________________________________________________________

______________________________________________________________________________________________________________________

Pets: __________________________________________________________________________________________________________________

 

 

The pageant is sponsored by the Woodmen of the World, Vidalia Lodge 1185. Applications become the property of the Pageant Committee. The Pageant Committee will not be responsible for errors or accidental injuries which occur during pageant rehearsal during the pageant, or to and from rehearsal and pageant. I agree to cooperate with the Pageant Committee as a contestant in the 2010 Miss Toombs-Montgomery County Scholarship Pageant, complying with all the rules and regulations, attending all requested meetings and rehearsals, and if crowned, to perform to the best of my ability as 2010 Miss Toombs-Montgomery County. I also understand that my scholarship will be awarded at the end of my reign as 2010 Miss Toombs-Montgomery County. I also understand that I may be disqualified at any time before, during, or after the pageant, if I or anyone in my entorage displays sign of unsportsmanlike conduct. I understand that all judges decisions are final.

Date:_______________ Contestant’s Signature:_______________________________

Date______________________________

Parent/Guardian (Print)_____________________________________________________

Parent/Guardian (Signature)_________________________________________________


 

2010 Miss Toombs-Montgomery County Scholarship Pageant

Young Teen, Teen, & Miss Application

Please submit Original and 4 copies. Please type(preferred) or print all information.

This information will be used during interviews, as well as to introduce you onstage.


Circle Age Division: Young Teen Teen Miss


Name:____________________________________________________Name Called: __________________


Current Address:__________________________________________________________


Home Phone:__________________ Cell Phone:____________________


Email Address: ___________________________________________________________


Parent’s Address if different from yours (include telephone number)

________________________________________________________________________


Date of Birth:_________________________ Present Age:________________________


Height:_________ Color of Hair:____________ Eyes:___________


Sponsor(s): _______________________________________________________________


High School/College Name and City:

________________________________________________________________________


College Major/Minor: _______________________________________________________


Present Status/Grade:______________________ Year of Graduation:________________


If you are now in high school and plan to go to college, where do you plan to attend.

________________________________________________________________________


What will you study:_______________________________________________________


Clubs or organizations in high school/College:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Special Honors in High School/College:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


What are your future plans after completing high school and/or college??________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


What special training or talent do you have?? (i.e. types of dance, musical, acting, artistic, etc.)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Present Occupation (if any):_________________________________________________


Hobbies:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Favorite Subject in High School or College:____________________________________


What is your favorite book & why?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Who is your role model and why?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Former and Current Titles (Present and last 2 years only)

___________________________________________________________________________________________________________________________________________________________________________________________________________________


List other information you feel the pageant committee, judges and public might find interesting about you:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


**You may use additional pages if you need extra space for any question.**


The pageant is sponsored by the Woodmen of the World, Vidalia Lodge 1185. Applications become the property of the Pageant Committee. The pageant committee will not be responsible for errors or accidental injuries which occur during pageant rehearsal during the pageant, or to and from rehearsal and pageant.


I agree to cooperate with the pageant committee as a contestant in the 2010 Miss Toombs-Montgomery County Scholarship Pageant, complying with all the rules and regulations, attending all requested meetings and rehearsals, and if crowned, to perform to the best of my ability as 2010 Miss Toombs-Montgomery County. I also understand that my scholarship will be awarded at the end of my reign as 2010 Miss Toombs-Montgomery County. I also understand that I may be disqualified at any time before, during, or after the pageant, if I or anyone in my entorage displays sign of unsportsmanlike conduct. I understand that all judges decisions are final.


Date:_______________ Contestant’s Signature:_______________________________


Parents Signature if under 18 ______________________________________________