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Dixieland Dolls & Darlings
 

Contestant Information

PLEASE Select PAGEANT

Name

Birthday      Age Group

Address

City      State     Zip

Phone

Hair      Eyes

Hobbies    

Pets

Parents

Referred by

ENTRY FEES

Grand Supreme Package
Includes Beauty, your choice of 2 events and Mini Supreme
$295
   
Best Dress, Smile and Eyes $25
Most Beautiful in Group $25
 
Please Check all that apply:(2 included with pkg)
Outfit of Choice                          Sportswear
Swimwear                                 Interview
Print Model                                Photogenic
Composite                                 Portfolio
Extra Events (Above) $50 Each $Due
 
TALENT $50
     
EXTRA ADMISSION, 12 and under free $15
TOTAL $Due
DEPOSIT
(Credit cards and Paypal Accepted)
$100
CREDITS $
BALANCE DUE $

I have read the rules and regulations of this National Pageant and fully understand and agree to abide by them. I hereby release the staff of Dixieland Dolls and Darlings and the facility where the pageant is being held from any theft, injury or loss of property, before, during and after competition. I understand that any act of bad sportsmanship will result in disqualification without refund. I agree and allow any pictures of my child to be used for promotional use.

Signature   Date



    
    

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