POB 272 Marlinton, WV 24954 info@pccocwv WV ROADKILL/AUTUMN HARVEST PAGEANT JULY 26ND AND 27TH, 2013 Contestant Application (Typewritten or printed in black ink please. Do not alter the application) July 27th, 2013 Children’s Pageant Marlinton Opera House Time 11:00 a.m. Entry Fee Ages 0 to 4 years 25.00 Age Divisions 0 to 4years 0 to 4 months _____ 5 to 11 month _____ 1 year_____ 2 year_____ 3year_____ 4 year______ Age Division 5 years and up Interview July 26 at Marlinton Library Promo and Evening gown July 27, 2013 Marlinton Opera house Tiny Miss starting at 1:00 p.m. Entry Fee Ages 5 to 15 years 50.00 Marlinton Opera House Teen starting at 7:00 p.m. Entry Fee Ages 16 and Up 75.00 Tiny Miss (5 to 6) _____ Little Miss (7 to 9) _____ Tween (10 to 12) ______ Teen (16 to 21) _____ Ms. (21 and UP) _____ Mrs. (18 and UP) __________ AGES O TO 4 DOES NOT ANSWER QUESTIONS MARKED WITH * Name of Contestant:__________________________________________ T-Shirt Size_________ Address:___________________________________________________________________________ Phone: _________________ Email: ____________________________________________________ Age:______ Birth Date: ______ Hair Color:_______ Eye Color: _______ *Education *High School:_________________________________________________ Year __________ *College/University: ___________________________________________ Year__________ *Awards & Activities *Honors/Awards/Community Activities: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ *Future Goals: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Special Interests and Hobbies: (O to 4 Years) What are your favorite toys?_____________________________________________________________________________________________________________________________________________________________________ Three describe words that best you: _________________________,________________________,___________________________ Favorite Food: _____________________ Favorite song; _____________________ Favorite Movie ____________________ Favorite Color: _____________________ Favorite singer/Band ______________ Favorite Actor/Actress_______________ Favorite Animal __________________ Favorite Athlete: ___________________ *What is one unique quality about yourself that you think makes you stand out from other people? Explain.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ *Why do you feel that you would be a good representative of our festival? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ *Is it important to be involved in the local community? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ *If you where to cook in the WV Roadkill what would you cook? ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ *What things would you like to see at the WV Roadkill Cook-Off/Autumn Harvest Festival? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Mail to: Shawn Smith, Director WV Roadkill/Autumn Harvest RR 2 Box 59 Buckeye, WV 24924 Send application, entry fee and one wallet picture Deadline June 28, 2013 no late entries accepted.
Posted on: Mon, 17 Jun 2013 00:30:54 +0000
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