ENTRY FORM
Please check events entered and complete this form.
BEAUTY.............................................................$40.00  (      )

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

BEST HAIR....................................................   $10.00    (      )

BEST SMILE.................................................   $10.00    (      )

BEST PERSONALITY..................................   $10.00    (      )

    The above events are ALL required to be eligible for Grand Overall.
      TOTAL FEES                                                 ___________  

                                 GRAND OVERALL PACKAGE                                 $95.00      ($15 DISCOUNT)        

TOTAL TICKET SALES                                ___________  
AMOUNT ENCLOSED                                 ___________
BALANCE DUE (CASH ONLY)                   ___________

              2 WAYS TO ENTER               
#1 Mail entry form and all fees or a $35.00 deposit to:
America's Cover Miss - PO Box 3103 - Forney, TX  75126
Make checks payable to:  America's Cover Miss. 

We accept Money Orders, Checks and Credit/Debit Cards.

 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, MONEY ORDER or CREDIT/DEBIT CARDS.

#2  You may enter at the door the day of the pageant and pay the total fees. 

Just bring this form filled out to registration, which is 1 hour before the pageant, with entry fee in CASH,

MONEY ORDER or CREDIT/DEBIT CARD.   

NO CHECKS ACCEPTED AT THE DOOR
There is a $3.00 convenience charge added for all credit/debit card transactions.

  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 ____________