Mail Entry form and Fees to:
John Gleaton (SC Dream Queen Pageants)
219 Millwood Ave.
Lexington, SC 29073
Telephone: 803-356-4703
Email: Gleatonjohns @aol.com
Make Checks payable to: John Gleaton

Please Fill out Neatly

Name:_____________________________________________
Contestants Number_____________________
Address:___________________________________________
Telephone Number:_______________________
Age Division:___________________Age:__________________Birthday:_________________
Color of Hair:_____________________Color of eyes:_____________________________
School:__________________________________________Grade:_________________________
Favorite Food:________________________Color:____________________Song:___________________
Hobbies or Special Training:_________________________________________________________________
Ambition:_________________________________________________________________________________
Sponsor (s):_______________________________________________________________________________
Parents/Guardians Name:____________________________________________________________________

PAGEANT FESS:
Beauty: $125.00__________________
Photogenic: $25.00_____________
Swimwear: $25.00________________
Portfolio: $25.00 _______________
Westernwear: $25.00______________
Extra Photos: $10.00 each________
Most Beautiful: $25.00_____________
Hair,Eyes,Smile,Dress: $25.00______
Mini Overalls: (Beauty,Swimwear,Westernwear, Photogenic, Portfolio)
$15.00 each________or All Five for $50.00_____
TOTAL:_______________
Social Security number (of the contestant)___________________________

I will hold neither this pageant or anyone connected with this pageant responsible for injury, loss, theft, or accident before, during, or after the pageant. I understand there will be NO refunds of any fees unless this pageant is canceled by the director and is not rescheduled. I agree to pay a $35.00 service charge on All returned checks.
Signature of Parent/Guardian:________________________________________________________________

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