12th Annual Queen of Pink Pageant

Saturday, June 10, 2017

Water’s Edge Church, 2760 Power Center Parkway, Lake Charles, LA

Admission: $5.00 per guest 12yrs and older $3.00 for children 11yrs to 1 year

Registration: 9:00 – 9:45 AM Competition: 10:00 AM

0 – 6 Months Sunday Best Infant Miss Queen of Pink

7 - 11 Months Sunday Best Baby Miss Queen of Pink

12 – 23 Months Sunday Best Toddler Miss Queen of Pink

2 – 3 Years Sunday Best Tiny Miss Queen of Pink

4 – 5 Years Sunday Best Petite Miss Queen of Pink

6 – 8 Years Sunday Best Little Miss Queen of Pink

Miss (17-23 years) Division Interview: Registration 12:30-1:00pm – Interview at 1:30pm

Dress Code: Interview suit with taupe shoes

Registration: 2:00 – 2:45 PM Competition: 3:00 PM

9– 10 Years Long Pageant Dress Deb Miss Queen of Pink

11 – 12 Years Long Pageant Dress Young Miss Queen of Pink

13– 14 Years Long Pageant Dress Teen Miss Queen of Pink

21yrs-up (married/divorced/mom) Long Pageant Dress Ms Queen of Pink

21yrs & Up (size 16 & up) Long Pageant Dress Lady Queen of Pink

Granny Dress or Pant Suit Granny Queen of Pink

15 – 16 Years Long Pageant Dress Junior Miss Queen of Pink

17 – 23 Years Suit/ Long Pageant Dress *Miss Queen of Pink

Introduction will be required for Jr. Miss, Miss, MS, Lady, & Granny (Greeting, name & contestant number).

Queens: Gorgeous Custom Designed Crowns; Monogrammed Wraparound Banners.

Alternates and Photogenic will receive a medal and Side Awards will be given a Certificate.

ALL 2017 QUEEN OF PINK QUEENS MUST ATTEND THE THINK PINK WALK ON OCTOBER 7TH IN RAGLEY, LA.

All proceeds from the pageant to the Queen of Pink Organization, a non-profit organization whose purpose is to help breast cancer patients in financial need to pay for treatments and other expenses.

The organization gives a $500 gift every month to help someone with breast cancer.

This is made possible through fundraisers and donations. A donation form is attached to this entry form.

Awards are given to contestants that raise donations for the organization (entry fee not included).

Donation Awards:

$25- $150 WILL RECEIVE A CERTIFICATE, MEDAL, & Gift

$151- $249 WILL RECEIVE A CERTIFICATE, MEDAL, & Monogrammed gift

$250 – up WILL RECEIVE A CERTIFICATE, Monogrammed gift, BANNER & WILL BE CROWNED AS THEPRINCESS OF PINK

MOST DONATIONS RECEIVED – WILL RECEIVE A CERTIFICATE, Monogrammed gift, BANNER & CROWNED AS THEAMBASSADOR OF PINK

**DEADLINE: DONATIONS MUST BE RECEIVED BY MAY 15, 2017**

Rules and General Information

Scores will not be posted, but will be emailed to email address on contestant’s form. Please allow 2 weeks post pageant to receive your scores. Modeling will be basic “T” formation with 1 "X" in back and 3 “X’s” in front of judges. Hair and make-up must be age appropriate. Dress Code must be adhered to. Bad sportsmanship or disrespect to Pageant Participants, Judges, Pageant or Festival Coordinators will not be tolerated. You will be disqualified and asked to leave without benefit of refund. 2016 Royalty may compete if they age up into next division with the exception of Jr. Miss, Miss, Ms, Lady, and Granny Divisions. No age grace period or bumping up to next age group; you must compete age you are on day of pageant. If contestant’s age is questioned, parent must provide copy of birth certificate to prove birth date. If any information on application is false, contestant will be required to forfeit any prizes/ title won to pageant committee and will be banned from future Queen of Pink pageants.

*Miss Queen will be contracted. The Miss Queen will not be able to compete for any other title & crown and must return to crown successor at the conclusion of her reign. The Miss Queen will receive a $500.00 scholarship at end of her reign provided terms of her contract have been met. A copy of the contract will be available to be reviewed at any time before the pageant. The Miss Queen CANNOT be married, divorced, or pregnant and MUST NOT get married or become pregnant (can’t live or be living with the opposite sex) during her reign. Contract MUST be signed by newly crowned queen immediately following the pageant. FAILURE TO SIGN CONTRACT WILL RESULT IN DISQUALIFICATION; THEREFORE MAKING THE FIRST ALTERNATE THE NEW QUEEN!*

*FOR MORE INFORMATION: Joyce Bennett: 337-842-1448 or Toni Wilcox: 337-377-7244

Or email:

12th Annual Queen of Pink Pageant

Contestant #:_____ Division: ______ Please type or print neatly

Name: ______

Age: ______Birth date: ______Hair: ______Eyes: ______

Parents: ______

Mailing Address: ______City:______State:____Zip:______

Phone #:______Cell Phone#:______Whose:______

Email Address______

School: ______Grade: ______

Favorite Food: ______Favorite Color: ______

Most Admired Person: ______

Ambition: ______

Hobbies: ______

Top 3 Priorities (MS, Lady, Granny, Jr Miss, & Miss Only):______

______

Sponsored By: ______

**2017 Queen of Pink Royalty agree to sign a behavior contract that they will be properly dressed, groomed and behaved while representing the Queen of Pink Organization at all times during her reign and abide by the conditions of this contract or she will forfeit her title and all prizes to the Pageant Committee. No smoking or alcohol consumption during appearances and reign.**

All Queens and Princesses must stay until the end of their pageant session for group pictures and a short meeting with directors to sign behavior contracts.

Entry Fee:

$50.00 by Thursday, June 8, 2017

$60.00 on June 9, 2017 or to enter at the door

**Cash ONLY at Door**

Photogenic and side awards are included in the entry fee. One unframed photo (up to 8x10) can be brought to registration on the day of the pageant. Contestant’s name and age must be on the back of the photo. Do not mail photos.

Mail entry forms and payment to: Pageant Committee:

Queen of Pink Joyce Bennett (337) 842-1448 PO Box 409 Toni Wilcox (337) 377-7244

Iowa, La 70647

**Please Make Checks Payable to QUEEN OF PINK** Any checks returned will be charged a $25 fee.

Accepting PayPal payments – ID is . MAKE SURE TO SURE TO USE FAMILY AND FRIENDS OR YOU WILL BE RESPONSIBLE FOR FEES. Put contestant name and age with PayPal payment and email form to .

NO REFUNDS

I agree that the Pageant Committee, Queen of Pink Committee, or Water’s Edge Church will not be held responsible for any items lost or stolen, nor injuries sustained during the pageant, or any functions attended to represent Queen of Pink. I also agree to abide by the rules set forth by the pageant committee. Any unsportsmanlike conduct will not be tolerated and you will be asked to leave without a refund. I also give the pageant committee permission to use any photos taken of me for publishing on their website and /or for promotional and advertisement purposes. I agree to attend any events associated with the Queen of Pink Organization and any events determined by the committee. If crowned Queen, I agree to promote and attend the Think Pink Walk to be held on October 7th in Ragley, LA. I also acknowledge that, I will be a representative of the Queen of Pink Organization and agree to represent this title. If I do not promote and attend the Think Pink Walk or at any time my behavior and/or appearance is unbecoming to my title, I understand that I will be required to relinquish the Title, Crown and Banner to the director in the condition I received it. I have read ALL of the rules, regulations, and general information and the information on this entry form is true and correct to the best of my knowledge.

______

Signature of Contestant Date Signature of Parent (If Participant under 18) Date

Donation form for the Queen of Pink Organization.

All proceeds go to local breast cancer patients.

Name of Contestant being sponsored______. Deadline is May 15, 2017.

Please mail this form and your check to:

Queen of Pink

PO BOX 409

IOWA LA 70647

Name: ______

Full Address: ______

______

Email address: ______

Phone #: ______

Enclosed is my check in the amount of $______payable to Queen of Pink.

Please check one: _____No receipt needed _____Email receipt _____Mail receipt

Type of Donation (please choose one):

  • General Donation – Business donation (please attach business card if available)
  • Gift in memory of: ______

(name of deceased)

  • Gift in honor of: ______

(name of individual)

Sign______Date______

Thank you for supporting Queen of Pink.

A non-profit organization.

Tax ID 26-0750103

Recognition of your generosity will be posted on our website: www.queenofpinkpageant.com