STATE ACCEPTANCE FORM

Forms are to be typewritten or printed only and turned in by October 14, 2006.

Mail forms to: Jan Chinners
15386 Navion Drive
Port St. Lucie, Florida  34987
Information: 954-557-7616 (Cell)   772-460-2654 (Fax)
email: flourlittlemiss@yahoo.com

Name: 
Age Divisions: 
(0-18months) 19-35 months 3-4 Years 5-6 Years
7-9 Years 10-12 Years 13-14 years 15-17 Years
(18-+) (Group will be divided if more than 5 contestants)            
Registration Fee:  (required) (Includes events for title, contestant’s party ticket, and chaperone badge.) $375.00
Best Smile  $15.00
Best Eyes  $15.00
Best Hair  $15.00
Best Party Dress  $15.00
Best Sportswear  $15.00
ALL 5 OPTIONALS (above)  $60.00
Photogenic $25.00
Extra Photos (indicate number of extra Photos) $10.00 Each
Portfolio  $25.00
Extra Portfolio $10.00
Party Tickets x $15.00
Referred by: 
For each referral, receive $25.00 credit. With 6 or more full paid entries receive registration fee paid in full. -$25.00 

Chaperone badge admits one person into competition events, Sleeping Beauties Dinner Party, and crowning ceremony.

Contact State Headquarters for sibling discounts.

Cash only will be accepted at registration and for tickets purchased at the door

 
Total Amount Entered
Deposit (minimum $100.00)
Balance Due


OUR LITTLE MISS STATE FINALS CONTESTANT INFORMATION

BIOGRAPHICAL SKETCH
 
NAME
AGE  BIRTH DATE
AGE DIVISION
ADDRESS
CITY STATE: ZIP
PHONE#
EMAIL
PARENT(S)
EYE COLOR HAIR COLOR
FAVORITE COLOR
FAVORITE FOOD
FAVORITE HOBBY
PET(S)
BROTHER(S)/SISTER(S)
AMBITION
SCHOOL/EMPLOYMENT
GRADE

****PLEASE INCLUDE 100 WORD BIOGRAPHY ALONG WITH PROGRAM BOOK PHOTO ROSTER. No larger than 5x7, color or black and white.

RELEASE
As parent/guardian of ______________________________, I do hereby submit this form as official entry in the Florida State Our Little Miss Beauty Finals and I do hereby agree to all rules and regulations set forth by World Youth Federation and the Florida State Our Little Miss Pageant. I agree to hold World Youth Federation of the Americas, Inc., and/or the Our Little Miss Pageant System, its directors and staff members harmless of any damages or liabilities due to theft, accident or injury during or resulting from my child’s participation in the state pageant. Should a State Beauty winner win an Official or Beauty World Title her successor will be named as presiding queen for the remainder of the year. The robes are the property of the Florida State Our Little Miss Pageant and if not properly returned at the end of the year’s reign or passed to her successor upon request, legal procedures will follow immediately at the expense of the parent/guardian or contestant herself if of legal age. I also agree that contestant is competing in the gender that they were born in.



Signature

Date

Forms can also be completed and submitted online with your deposit via paypal.com *link below* OR printed and mailed to address below


Mail forms to:
Jan Chinners
15386 Navion Drive
Port St. Lucie, Fl. 34987
Information: Call: 954-557-7616

MAKE ALL CHECKS PAYABLE TO: 
FLORIDA'S OUR LITTLE MISS.

Hit the submit button only once, PLEASE! 

 

 

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