OFFICIAL ENTRY FORM

Tiny Miss of Tennessee 2007 State Pageant

Nashville, TN ~October 5-7, 2007

DEADLINE:September 22, 2007

AGE DIVISION: Wee Baby__ Wee __ Baby__ Tiny __ Petite __ Preteen __ Junior __ Senior__

Name______Age______

Birthdate______Phone______Parents’ Name ______

Street Address______Email Address______

City______State ______Zip Code ______

Hair Color______Eye Color ______Favorite TV Show ______

Favorite Food______Ambition ______

School/Grade (if applicable)______Favorite Subject ______

Interesting Facts about Yourself______

______

I RELEASE MELINDA PATTERSON, PAGEANT STAFF, AND THE PAGEANT LOCATION FROM ANY RESPONSIBILITY OR LIABILITY DUE TO THE LOSS OF PERSONAL PROPERTY, ILLNESS OR ACCIDENT THAT MAY OCCUR GOING TO, AT OR GOING FROM THE PAGEANT. I AGREE TO SHOW GOOD SPORTSMANSHIP AND UNDERSTAND THAT THE DECISION OF THE JUDGES IS FINAL. NO REFUNDS UNLESS THE PAGEANT IS CANCELLED. RETURNED CHECKS WILL BE CHARGED A $35 RETURNED CHECK FEE. I CONSENT TO THE USE OF ALL PHOTOS OF THIS PAGEANT, STATE OR NATIONAL PARTICIPATION OR APPEARENCES AS A TINY MISS QUEEN BEING USED FOR ADVERTISING, DISPLAY OR PROMOTION. I HAVE READ, UNDERSTAND AND AGREE TO THE ENTIRE CONTENTS OF THIS FORM.

Parent or Guardian Signature ______Date______

Send completed form to: Melinda Patterson ~ 144 Indian Creek Rd ~ Jacksboro, TN 37757

Questions? Feel free to Call 423-494-2629 or email

Or Visit our Website! http://tinymisstn.tripod.com for more info!

MANDATORY FEES
Non-refundable Mandatory Registration Fee
(Wee Baby – Senior)………………………………..……$75
**Includes one wallet size picture in program book, Program Book, Chaperone’s admission to all events, Party Tickets (Contestant and Chaperone), and Contestant T-shirt. PLEASE SEND WALLET SIZE PHOTO WITH ENTRY FORM.
Baby, Tiny, Petite
Gown, Swimsuit, School Wear…………………………$250
Preteen, Junior, Senior
Gown, Swimsuit, Interview……………………………..$250
PLEASE SEND 5 COPIES OF FACT SHEET WITH ENTRY FORM.
LATE FEE (after September 22, 2007)……………….…$50 / OPTIONAL FEES
Photogenic………………………..……………………..$25
Each additional photo $20 x ______= $ _____
Hobby/Career Wear……………….…..……………….$25
Runway Modeling……………….……..……………….$25
Talent ……………………………………..……………..$50
Extra Party Tickets………………$7 x ______= $______
Tiny Miss of America T-Shirt..$10 x ______= $______
Please circle total desired sizes.
CHILD XS S M L ADULT S M L XL XXL XXXL
Weekend Passes to all events $25 x ______= $______
At the door, each event is $8.
ADVERTISING
Full Page: ____ pages x $100 = ______
Half Page _____pages x $50 = ______
Business Card: _____ x $25 = ______/ Total Fees Due: $ ______
Less $150 Deposit: $ ______
TOTAL AMOUNT DUE
AT REGISTRATION: $ ______