USA MISS GRAND SUPREME (CONTESTANT WITH THE HIGHEST COMBINED SCORES IN BEAUTY, PHOTOGENIC, & THEME WEAR) 5 ¼” USA RHINESTONE CROWN, CUSTOM USA BANNER, USA RHINESTONE BANNER PIN, SCEPTER, FANCY LONG ROYALTY ROBE, CUSTOM TOTE BAG, & $500.00 CASH
2 USA MISS SUPREMES
0-6 7-UP (CONTESTANTS WITH THE HIGHEST COMBINED SCORES IN BEAUTY, & HIGEST PHOTOGENIC OR THEME WEAR UNDER GRAND) 5 ¼” USA RHINESTONE CROWN, CUSTOM USA SUPREME BANNER, USA RHINESTONE BANNER PIN, FANCY SHORT ROYALTY ROBE, CUSTOM TOTE BAG, & $250.00 CASH
USA MISS MINI-SUPREME (CONTESTANTS WITH THE HIGHEST COMBINED SCORES IN BEAUTY UNDER SUPREMES) 5 ¼” USA RHINESTONE CROWN, CUSTOM USA MINI-SUPREME BANNER, USA RHINESTONE BANNER PIN, FANCY SHORT ROYALTY ROBE, CUSTOM TOTE BAG, & $100.00 CASH
USA MISS PRINCESS SUPREME (CONTESTANT WITH THE HIGHEST COMBINED BEAUTY SCORES UNDER DIVISION QUEEN) 4” USA RHINESTONE CROWN, CUSTOM USA PRINCESS SUPREME BANNER, USA RHINESTONE BANNER PIN
8 OVERALLS
0-6 7-UP (WILL BE DOUBLE-AWARDED IF NECESSARY) CUSTOM BANNER & $25.00 CASH
9 USA MISS DIVISION QUEENS 4” USA RHINESTONE CROWN, CUSTOM USA QUEEN BANNER, & USA RHINESTONE BANNER PIN
9 USA MISS DIVISION PRINCESSES’ USA RHINESTONE TIARA, PRINCESS BANNER, & USA RHINESTONE BANNER PIN
USA MISS ALTERNATES TROPHY
DIVISION PHOTOGENIC ~ CUSTOM PICTURE FRAME DIVISION THEME WEAR ~ CUSTOM TITLE BANNER
DIVISION ANYTHING GOES ~ CUSTOM TRAVEL PILLOW CASE DIVISION OPTIONALS~ TITLE CERTIFICATE
2003 COUNTRY BUMPKIN USA MISS AMBASSADOR (DIRECTOR’S CHOICE)
4” USA RHINESTONE CROWN, USA RHINESTONE BANNER PIN & CUSTOM USA AMBASSADOR BANNER
OVERALL TALENT
CUSTOM TITLE BANNER, BANNER PIN, CUSTOM USA THROW BLANKET, TROPHY, & $50.00 CASH
DIVISION TALENT
CUSTOM TITLE BANNER & TROPHY
1ST-2ND ALTERNATE
MEDAL
NO DOUBLE-CROWNING (EXCEPT WHERE NOTED)!!!
NO ONE GOES HOME EMPTY-HANDED!!!
-----------------------------------------
NAME:_______________________________________________AGE:__________BIRTHDATE:________________________
ADDRESS:________________________________________________________________________________________________
PHONE #:_________________________________EMAIL
ADDRESS:_____________________________________________
DAUGHTER OF:__________________________________________________________________________________________
HAIR:____________________________________________EYES:___________________________________________________
HOBBIES/INTEREST:_____________________________________________________________________________________ ___________________________________________________________________________________________________________
AMBITION:_______________________________________________________________________________________________ ____________________________________________________________________________________________________________
SPONSORED TODAY BY:__________________________________________________________________________________
REFERRED BY:____________________________________________________________________________________________
MS/MARRIED/MOMS
(WIFE/GIRLFRIEND OF:_________________________________________________________________________________
MOTHER OF:_____________________________________________________________________________________________)
I AGREE NOT TO HOLD THE DIRECTOR, VOLUNTEERS, OR THE BUILDING WHERE THE PAGEANT IS BEING HELD RESPONSIBLE FOR ANY ACCIDENTS, DAMAGES, INJURIES, OR LOST/OR STOLEN ITEMS. I HAVE READ AND FULLY UNDERSTAND THE RULES OF THE PAGEANT AND AGREE TO ABIDE BY THEM. I GIVE PERMISSION TO USE PICTURES TAKEN OF MYSELF AND/OR MY CHILD FOR FUTURE ADVERTISEMENTS OF THIS PAGEANT.
PARENTS SIGNATURE ________________________________________________
DATE ________________________________________
$ 100.00 BEAUTY & PHOTOGENIC REQUIRED BY ALL
$ 50.00 THEME WEAR (RED/WHITE/BLUE) REQUIRED FOR GRAND SUPREME
$ 20.00 ANYTHING GOES WEAR (BEAUTY, SPORTSWEAR, WESTERNWEAR, SWIMWEAR, CASUEL WEAR, DENIM WEAR, ETC…)
$ 5.00 EA OVERALLS (CIRCLE EVENTS ENTERED) THEME WEAR ANTHING GOES MOST BEAUTIFUL PHOTOGENIC
$ 10.00 EA EXTRA PHOTOGENIC PICTURES (# OF EXTRA PICS ENTERED _______)
$ _________ TOTAL
$ _________ SUBTRACT DISCOUNTS (IF ANY)
$ _________ DEPOSIT ($75.00)
$ _________ TOTAL OWED AT DOOR (CASH ONLY)
____________________________________________________________________________________________________________
AGE DIVISION __________ CONTESTANT # __________
# TICKETS SOLD __________ REFERRALS __________
(IF YOU WISH TO SELL RAFFLE TICKETS FOR ENTRY FEES AND AWARDS, PLEASE CONTACT DIRECTOR FOR TICKETS AND AWARDS LIST)
TALENT ENTRY FEE (INCLUDES OVERALL TALENT): $ 30.00
2ND TALENT (INCLUDES OVERALL TALENT): $ 15.00
TOTAL: $_________
DEPOSIT ($20.00): $_________
AMOUNT OWED AT DOOR: $_________
NAME: ___________________________________________________________________________________
ADDRESS: ___________________________________________________________________________
PHONE #: ____________________EMAIL: ___________________________________________
BIRTHDATE: ____________________ AGE DAY OF PAGEANT: ___________________
TALENT/SONG: ___________________________________________________________________________ ___________________________________________________________________________________________
DO YOU NEED A MIC? YES NO
IF SO, DO YOU NEED HAND-HELD ON A STAND
SPONSORED TODAY BY: ____________________________________________________________ ____________________________________________________________________________________________
I AGREE NOT TO HOLD THE DIRECTOR, VOLUNTEERS, OR THE BUILDING WHERE THE PAGEANT IS BEING HELD RESPONSIBLE FOR ANY ACCIDENTS, DAMAGES, INJURIES, OR LOST/STOLEN ITEMS. I HAVE READ AND FULLY UNDERSTAND THE RULES OF THE PAGEANT AND AGREE TO ABIDE BY THEM. I GIVE PERMISSION TO USE PICTURES TAKEN OF MYSELF AND/OR MY CHILD FOR FUTURE ADVERTISEMENTS OF THIS PAGEANT.
PARENTS SIGNATURE _____________________________________________
DATE ________________________________________ ________________________________________________________________________________________________
AGE DIVISION __________ CONTESTANT # __________
***PLEASE HAVE MUSIC LABELED AND READY TO GO…YOU WILL TURN MUSIC IN TO “THE ROAD MAN”, DAVID BOEHME, BEFORE TALENT. YOU MAY USE A C.D. OR TAPE***
***PLEASE BE SURE TO PICK UP YOUR MUSIC AFTER TALENT***