2009 Miss/Mrs. Care Pageant Application

C.A.R.E. ~ Cancer Awareness Research Emphasis

Saturday May 16th, 2009 at 5:00 p.m.

Cochran-Bleckley Chamber of Commerce Auditorium - Cochran, Ga.

Director, Karlee Jones

Name:___________________________________      Division:_______________

Parents’ Names:______________________ Email Address:________________

Address:_____________________________________________________________

Phone (Day):___________________         (Night):_________________________

Age:___________________            Birthday:__________________________     

Eye Color:_________________                       Hair Color:________________

School:_______________________________________  Grade:____________

Hobbies & Activities:_________________________________________________

____________________________________________________________________

Sponsor:_____________________________________________________________

 I am entering the following:

              Beauty (Mandatory)………..........._____$50.00

                   Casual Wear ……._____$10.00

                   Prettiest Dress………………......_____$10.00

                   Prettiest Smile……………..........._____$10.00

                   Prettiest Hair..................................._____$10.00

                   Photogenic……………….............._____$10.00

                   Talent…………………….............._____$15.00

      ***EVERYTHING EXCEPT TALENT FOR $85.00***

TOTAL…………………………….................... _____________

Mail applications to:

Miss Care Pageant

c/o Karlee Jones

1848 El Bethel Church Road

Milan, Ga. 31060

The pageant director, nor the pageant location are responsible for accidents, theft, loss, or injury. I agree not to hold them liable. All judges decisions are final. Score sheets will be mailed to contestants who turn in a self-addressed stamped envelope with pageant application. There will be a $50.00 fee on all returned checks, plus any court cost that may incurred during the collection process. Poor sportsmanship will result in disqualification of contestant and prizes (this includes contestants and family members). The director reserves the right to cancel the pageant due to lack of participation with full refund of entry fees that have already been paid. I understand no refund will be given if the contestant fails to show or is disqualified because of misconduct by contestant or family member.