2016 Little Miss and Mister Pageant Application

Entry Form

Entry fee: $25.00

Competition:

Saturday, May 21, 2016 at 6 p.m.

Elizabeth Baptist Church,

301 N. Post Road

Shelby, NC, 28150

*Please enclose a black/white or color photo to be used

*DEADLINE FOR ENTRY IS FRIDAY, MARCH18, 2016

  • All contestants will receive participation awards. The “Little Miss” and “Little Mister.” will receive a banner, trophy, and flowers/boutonniere. Trophies for the 1st and 2ndrunner-ups will all be awarded. The winners will be required to attend the Little Miss and Little Mr. Pageant 2017.
  • The contestant with the most donations, includingtickets sold to the Parade of Tables event, will be crowned 2016 Little Miss and Little Mister. All monies must be turned inby May 18, 2016 at 5 pm.
  • Any child birth to eight years of age can participate in the pageant.
  • All girls and boys will enter the stage for a group line up.Each contestant will then enter on stage with one adult (if necessary) and move to center of stage and continue to other points as directed. At this time, the contestant should smile, be cute, and show personality. The attire may be holiday, formal, or Sunday best. Practice will be announced at a later date.
  • No immediate member (daughter/son) of any personnel of Washington Outreach Ministry team is eligible to participate.
  • Any display of bad sportsmanship and/or unbecoming conduct, any interference and/or disturbance, foul language, or any other behavioral problem created by a contestant, parent, relative or supporter of a contestant could result in disqualification of the contestant not only from this year’s pageant but all future contests.
  • Participants will not be charged for admission.All sponsors, friends, family members must purchase a Parade of Table Event ticket.

Make all Checks, Money Orders, and/or Cashier’s Checks

Payable to: Washington Outreach Ministry

Deadline for all forms and fees is March 18, 2016 at 5:00pm – No Exceptions!

Circle One: Boy / Girl

CONTESTANT NAME______

AGE______BIRTHDATE______COLOR OF HAIR______EYES______

ADDRESS______CITY______ZIP______

PHONE______EMAIL______

DAUGHTER/SON OF______

SCHOOL NAME______GRADE______

SIBLINGS______

FAVORITE COLOR______FAVORITE FOOD______

AMBITION FOR THE FUTURE ______

______

BY SIGNATURE BELOW, CONTESTANT/PARENT/GUARDIAN CERTIFIES THEY HAVEREAD, UNDERSTAND AND AGREE TOCOMPLYWITH THE RULES AND REGULATIONS OF THIS PAGEANT AND FURTHER ASSUME ALLLIABLITLY ANDRESPONSIBILTY FOR ANYLOSS, ACCIDENT OR INJURY RESULTING FROM PARTICPATIONIN THIS EVENT. COMPETITIONINFORMATION AND PHOTOS MAYBE USED FOR PUBLICITY PURPOSES. NO REFUNDS WILL BE GIVEN.

______

PARENT/GUARDIAN SIGNATURE DATE