Miss Georgia Pageant

Miss Georgia Contestant

Certification Of Local Contestant

For

Miss Georgia Competition 2017

I, __________________________________________________, the local director of the Miss ____________________________ Pageant, a local franchise of the Miss Georgia Pageant, do hereby certify that ______________________________________ has been selected Miss ____________________________________ pursuant to the rules and regulations promulgated by the Miss Georgia Pageant and the Miss America Pageant. The winner’s date of birth is ____________________________________.

Signed Local Director: ________________________________________________

Witness: ________________________________________________

Date: ___________________________

Include the following information:

Title: ___________________________________________________________

Name: ___________________________________________________________

Address: ___________________________________________________________

___________________________________________________________

DUE: ONE WEEK AFTER LOCAL PAGEANT IS HELD !!!!

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