Age:___________________________________________________

Address:________________________________________________

City & State:____________________________________________

Postal Code:____________________________________________

Telephone Number & Area Code:(_______)__________________

I am entering the following events:

• Beauty: $50.00_________(Mandatory)

• *FashionModel:$20.00_________

• *Holiday Wear:$20.00_________

• Photogenic: $15.00 ________(optional)

• Side Awards

• _______Best Attire_______Prettiest Eyes_______

• _______Prettiest Hair_______Best Holiday Wear

  $10.00 Each or $30.00 for all 4 $__________

• Less Discounts! $__________ (Take the highest discount/optionals paid given)

• Total Enclosed: $__________(50.00 deposit required)

• Total Due: $__________ (Total Due at Registration in Cash Only!)

*Mandatory for Age Division Overalls

High Points For Age Division Overalls Will Be Determined By The Highest Combined Scores of Beauty and either Fashion Wear or Christmas Wear Events. If You Compete in Both Events, the Hightest Event Score Will be Used to Determine High Points.

Northern Belle Pageants Application - page 2

Rules & Disclaimers:

1. All contestants will be responsible for any accident or injury incurred during a stay at the Pageant or in travel to and from the Pageant, or at the competition itself. The Pageant refers to Northern Belle Pageants and any business, facilities, judges or other officials associated with The Pageant.

2. Judges decisions are final. All contestants must show good sportsmanship at all times!

Deadline for Entry: October 21st, 2000 Late Entries will be accepted with a $15.00 late fee - NO DOOR ENTRIES.

Optional Photogenic Event: Bring Photographs to Registration

Signature of Parent or Guardian:________________________________________________

Print or Type Name:___________________________________________________

Balance payable at the door - cash only.

Checks payable to: Mr. Bruce D. Hemond

Mail to: Northern Belle Pageants, 20 Alfred Street, Chicopee, MA 01020

Telephone Number: 413-593-5303 or 877-223-5731

*Referred by:_________________________________________________________