West Virginia's Heavenly Angels Photo Contest

Official Entry Form

Contestants Name:______________________________ Address:__________________________

City:_______________________________ State:_______ Zip:_____________

Home Phone:(___)-____-______ Age:_______ Date of Birth:__________

E-mail:__________________________

Overall Entry Fees: ___________$30.00 (required) Up to 5 photo's

Extra Pictures:_____________ @ $5.00 each (optional)

Pictures returned _____________$3 ( or include a S.A.S.E.)

Total: $___________________

I hereby release all claims of damages of any kind due to entering this Mail-In Photo Contest and I understand that WV's Heavenly Angels OR Kim Blizzard can not be held responsible for any misdirected mail, postage due, or damage of photos by the Postal Services. I agree that a SASE must accompany my photo's to receive them back. I give my permission for photo's to be used on paperwork and or web site. I understand that there must be 2 entries per age group or age groups will be combined. All previous Kings and Queens cannot enter again for 3 months

Signature_____________________________ Date:___________________

(Parent or guardian signature requited if contestant is under the age of 18)

E-mailed photos are accepted in jpeg format only
You may pay online, but you must send this needed information thru E-mail

Please print out and send form & fees (checks or money order) to:

Kim Blizzard
443 16th Street
Dunbar, WV 25064