Name: _________________________________________________________________
Address: _______________________________________________________________
Birthday: _______________ Age: _______ Phone#: ___________________________
Parents Name:__________________________________________________________
Eye Color:_______________________ Hair Color: ____________________________
Favorite Color:____________________ Favorite Food: _________________________
Hobbies:_______________________________________________________________
Ambition: ______________________________________________________________
Favorite Person: ________________________________________________________
Sponsored By:__________________________________________________________
Referred By: ___________________________________________________________
Email Address: _________________________________________________________
I hereby release Mindy Mckenna, the Gerinium Festival Pageant and any of their affiliates from all claims of damages, injuries, or loss before, during, or after the pageant and I do understand that the judges decisions are final. The Director reserves the right to combine any age groups with 3 or fewer contestants. Unsportsman like conduct will not be tolerated and such acts will lead to automatic withdraw from the pageant with no refund. No Refunds unless the pageant is cancelled.
Signature:__________________________________________ Date_____________________