America's Yankee Miss
ONLINE APPLICATION SELECT ONE:

Contestant Name:      Date of Birth:
Age at time of this pageant:      Home Phone:
Complete Mailing Address:
                                          City:     State:      Zip Code:
Parents Names (if minor):      Email:
Hobbies & Special Intrest:
Ambition for Future:

IF PARTICIPATING IN TALENT 1. Type of Talent:      Time:
    Song:

2. Type of Talent:      Time:
    Song:

You must provide us with a cued Cassette or CD of music on Pageant Day
Where did you hear of this pageant?
(Mailing, advertisement, a friend, etc.)
 Please add
$25 Late Fee
if Pageant Fee
is Received After
October 7th
NOTE: You do not NEED TO COMPETE in ANY
OPTIONAL COMPETITIONS in order to
WIN Pageant of High-Point titles.
We hereby have read and understand the RULES & REGULATIONS set forth by the pageant and release the Directors and Staff from any and all claims for damages or for injuries we may sustain while participating in any of the pageant activities.
We affirm that all information on this form is true & correct
(Parents must sign - if contestant is under 18 years of age)


Parent Signature                                                   Date


Contestant Signature                                             Date
SPONSORS are businesses or individuals who can pay your entry fees. This may be parents, friends or businesses. Remember that you can sponsor yourself if you wish!!! Up to 5 sponsors names will be announced during the pageant. This is a tax deduction for any business.

SPONSOR'S NAMES - if any (will be mentioned during pageant):
SPONSOR ENTRY FEES
PAGEANT -
OPTIONALS
PHOTOGENTIC - $40 first($20 ea. addl)
MODELING - $50 each
TALENT - $60 each
TOTAL ENCLOSED
PayPal Accepted:
COUTOPAGEANTS@AOL.COM
IMPORTANT
Registration From with at least $95 MUST BE RECIEVED
IN PAGEANT OFFICE BY 2 Weeks Prior To Event
NOTE: Any Applications recieved within that 2 weeks may be subject to a 25.00 late fee