ENTRY FORM
Please check events entered and complete this form.

BEAUTY (MANDATORY)................................ $40.00  (  X  )

  PHOTOGENIC..................................................$10.00  (      )    
EXTRA PHOTO.....______ @ $5.00 ea. =    _____   (      )
MOST BEAUTIFUL/HANDSOME..................$10.00    (      )
BEST FASHION...............................................$10.00    (      )
SIDE EVENTS...............................................   $20.00   (      )

                       BEST EYES, HAIR, SMILE & PERSONALITY                       
    ($10.00 each or all 4 for $20.00) 

    The above events are ALL required to be eligible for Grand Overall.
      TOTAL FEES                                                 ___________        
TOTAL TICKET SALES                                ___________  
AMOUNT ENCLOSED                                 ___________
BALANCE DUE (CASH ONLY)                   __________
_


              2 WAYS TO ENTER               

#1 Mail entry form and all fees or a $20.00 deposit to:
America's Cover Miss - PO Box 753 - Camden, AR  71711
Make checks payable to:  America's Cover Miss.  We accept Money Orders, Checks and Visa/Mastercard.
Checks must reach our office 7 days before the pageant If your check is returned for any reason, there will be a $25.00 charge.  All Balances Must be paid at the door in CASH or MONEY ORDER.

#2  You may enter at the door the day of the pageant and pay the total fees
.  Just bring this form filled out and entry fee in CASH or MONEY ORDER to registration 1 hour before the pageant begins. Most contestants choose to pay at the door.
NO CHECKS OR CREDIT CARDS ACCEPTED AT THE DOOR
There is a 5% handling charge for all credit cards.  Please fill out the information below.

____________________________________________________
card holder's signature                                                   print name
____________________________________________________
credit card number                                                 expiration date


                   EMCEE SHEET                    


Age Division____________ Pageant City_____________________

Contestants Name_______________________________________

Age_________ Birthdate______________ Phone_____________
_

Address_______________________________________________

City______________________State________Zip______________

E-mail________________________________________________

Sponsored By: __________________________________________

Enjoys_________________________________________________
Eating, dancing, playing outside, etc.

Son/Daughter of _________________________________________

I have read and fully understand the rules and regulations of the pageant.  America's Cover Miss nor the facility where the pageant is being held, is in no way responsible for accidents, injury or theft that may occur before, during or after the pageant.  I understand the judges decision is final and there are no refunds for any fees.

____________________________________________________
Signature of parent/guardian                  date

How did you find out about the pageant?  Newspaper   Internet   Friend     Mall     Mailing List     Store   Other ____________

 

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