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Northern Belle Pageants
Application for Preliminary & Mini-National Pageants


Name:_________________________________________________

Age:___________________________________________________

Address:________________________________________________

City & State:____________________________________________

Postal Code:____________________________________________

Telephone Number & Area Code:(_______)__________________

Date of Birth:__________________

I am competiting as a pro_______amateur*__________ *Northern Belle Pageants defines Amateurs as contestants who have not won a divisional, mini or supreme (high point) title in the past two years.

_____________Supreme Package $145.00 (Beauty & Two Events) I am entering the following events:

  • Beauty/Formal $100.00_________*Mandatory

  • Fashion Model:$25.00_________

  • Holiday Wear Model: $25.00_________

  • Talent: $25.00 _______*

  • Photogenic: $25.00 ________*Optional Event!

  • Extra Photo: $15.00 ________ (limit 4 photograph)

  • Registration Fee $ 15.00

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

  • Late Fee: $ 25.00 *Those entries received at the door!
  • Total Enclosed: $__________($50.00 deposit required)

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

*Talent routines are limited to 3 minutes - all performance tapes must be cued *Please limit modeling routines to approximately 2 minutes! *No coaching for children 8 and over!

To Compete for Supreme contestant must compete in Formal and two Optionals. High Points will be determined by The Highest Combined Scores of Beauty and Two Optional Events. If You Compete in Three or More Optional Events, the Two Highest Event Scores Will be Used to Determine High Points.

Photogenics -- the Highest Scoring photograph will be credited towards Optional Photo Winners.


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!


Photogenic Entry: 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


*Referred by:_________________________________________________________



Emcee Sheet

Name:_________________________________________________

Age:___________________________________________________

City & State:___________________________________________

Parents Names:_________________________________________

Hair Color:_____________________________________________

Eye Color:______________________________________________

What phrase best describes the contestant?__________________

Sponsor(s):*________________________________________________

_______________________________________________________

Hobbies:_______________________________________________

Ambition:______________________________________________

*Sponsors: is the one who pays the entry fees. Sponsors may be family, business or friends. Sponsors will be announced when the contestant is on stage.