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Northern Belle Pageants
Preliminary & Mini-National Application


Please complete this form as much as possible. Use an "X" to choose events. We will calculate totals for you and reply by email or telephone. Before submitting, print a copy for your records! Thank you.

Name:
Age:
Address:
City & State:
Zip Code:
Telephone Number:
Email:

I am entering as a Pro:
I am entering as an Amateur:
I am entering the following events:
Supreme Package $145.00 (Includes Formal/Beauty and Choice of Two Optional Events)
Extra Optional Events May be Used as Replacement Scores:
Formal/Beauty $100 *Mandatory
Fashion $25:
Holiday Wear $25:
Talent $25:

Separate Events: Photogenic (Photogenic Scores are not Included in Supreme points) Photogenic $25:
Extra Photo $15 (limit 1):

Registration Fee $15:
Sub-Total:
Less Discounts Take the highest discount paid(either/or)

Late Fee $25:
Total Deposit (Minimum of $50):
Total Due at Registration:

Signature of Contestant (Parent or Guardian):
Balance Payable at the door - cash only. (If mailing deposit: Checks are payable to: Bruce D. Hemond) There will be a $25.00 charge for returned checks: Mail to: Northern Belle Pageants, 20 Alfred Street, Chicopee, MA 01020 Telephone: 413-593-5303

Referred by:

Guidelines:
*Talent routines are limited to 3 minutes - all performance tapes must be cued. High Points for Grand Supreme, Mini Supreme and Age Division Supremes will be determined by the Formal Score and two highest optional event scores. If you compete in three or more optional events, the two highest event scores will be used to determine the overall.


Extra Photogenic: The highest scoring photo will be used to determine the Overall Photogenic and Age Division Photogenic score.

Rules and 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. Please do not approach the judges until after awards. All contestants must show good sportsmanship at all times.
3. Please provide proof of age at registration.

Payment may be made with a major credit card (Visa & Mastercard)using PayPal. Our paypal email is: bhemond@the-spa.com
Deadline for entry December 1st, and accepted with late fees until December 5:
Photogenic Entry: Bring Photographs to Registration

EMCEE SHEET Name:
Age:
City & State:
Parents Names:
Hair Color:
Eye Color:
What Phrase Best Describes the Contestant?
Sponsors(*):
Hobbies:
Ambition:

*Sponsors: the one who pays the entry fees. Sponsors may be family, business or friends. Sponsors will be listed in any program book, or booklet and announced when the contestant is on stage,


Thank you for your application to Northern Belle Pageants, Preliminary or Mini-National Event! Someone from our staff will contact you within 24 hours of receipt of the application. If you do not receive an acknowledgement within 24 hours, please contact our office at 413-593-5303.