PRELIMINARY ENTRY FORM

Please print this copy, fill out entry form and emcee sheet and mail along with at least a $20 deposit to:
Becky Cathey, State Director
PO Box 86
Thornton, AR 71766
870-352-5565
Balance may be paid at door--CASH ONLY!!

Circle Age Group:
Baby Pageant: 0-11 mos. , 12-23 mos. , 2-3 yrs

Prince Cahrming: 0-3 yrs. , 4-5 yrs. , 7-9 yrs.

Overall, Sportswear, Photogenic.....$68
Extra Photos:.....$5 ea.
MUST COMPETE IN ALL FOR OVERALL ELIGIBILITY

Total Fees:

Deposit:

Referrals
(-$10/ paid contestant or FREE for 3!!)

Ads Sold ($200 in ads= FREE!!)

Balance Due (Cash only at door!)

Circle Age Group:
Cinderella Pageant: 3-6, 7-9, 10-12, 13-17, 18-26(married or single)

Overall, Sportswear, Photogenic.....$68
Extra Photos:.....$5 ea.
MUST COMPETE IN ALL FOR OVERALL ELIGIBILITY

Total Fees:

Deposit:

Referrals
(-$10/ paid contestant or FREE for 3!!)

Ads Sold ($200 in ads= FREE!!)

Balance Due (Cash only at door!)

Referred by:




EMCEE SHEET

Age Division:

Age:

Birth Date:

Name:

Address:

City:

Zip:

Phone:

Favorite TV Show or Movie:

Enjoys:

Siblings:

Talent: (7-26)

Parents:

Sponsored by:



I have read and fully understand the rules and regulations of the pageant. Cinderella and/or the facility where the pageant is being held is in no way responsible for any accident, injury, or theft which might occur in route to or from or during the pageant. They are released forever and always from any liability. I understand that the judges decisions are final and all crown winners are asked to advance to the next level of competition.



Parent or Guardian Signature


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