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PLEASE REMEMBER-----IF YOU THINK YOU MAY COMPETE, MAKE YOUR ROOM RESERVATIONS NOW!!!
I DON'T WANT ANYONE TO MISS GETTING A ROOM!
Pay through PayPal.Com and use your Credit or Debit Card to: <a>VickieLynne2@aol.com </a>or you may send Check or Money Order to:

Cowgirls & Cowboys USA
c/o Vickie Fisher
2626 Reedtown Road
Utica, Mississippi 39175

*If you pay by check, I must receive it at least 2 weeks before pageant*

There is a 60 Day Grace, you can compete your age or fall back on the grace, but you can not move up out of your age division.  Please have a certified copy of your childs birth certificate at registration or mail in with entry, to avoid any confusion.
Thanks, Vickie

Entry Form
Age Division_____ Contestant#______   Birth Date __________

Contestant Name ____________________________  Age  ________

Daughter or Son of _____________________ Phone ____________

Address ___________________  City______  St___    Zip _____

Favorite Food _______________    Fav. TV Show _____________

Hobbies____________________________________________________

Sponsored by ______________________ E-Mail ________________

I have read and understand all information provided. I release pageant, pageant staff and event location from any and all liabilities. If for some reason you are unable to attend, your fees may be used against a future pageant. Poor sportsmanship will not be tolerated. Judges decisions are final. I give permission for any and all pictures of my child to be used in future promotional advertising.
Parents Signature__________________________ Date ___________________

*Overall Package- - -______$175 (includes Casual Beauty & 3 optionals)

Registration Fee- - -______ $ 50 (put PAID in blank if you received a gift certificate) (Mandatory)

Causal Beauty ONLY _____ $125

Talent ONLY        _____ $ 50

Crowning T-Shirt   _____ $ 15 ( You need this T-Shirt to wear for Crowning)

circle size:  (Youth) Sm Med Lg             (Adult) Sm Med Lg XLg 2XLg

Weekend Pass
Total -_____ $15 Adult (# of passes____x 15)

Total -_____ $10 Children 6 to 12 yrs (# of passes____x10)
Children 5 and under FREE

Program Book  _____ $10
(You do not have to buy a program book, BUT PLEASE send a 5 x 7 or SMALLER photo in with your deposit by JANUARY 24TH)

Optional Events
(Put PAID in Blank if included in Overall Package - Choose 3 You may do extra options, priced below.)

Sunday Best- - - - - - - ____ $35

Pro Photogenic- - -- - - ____ $35  1 Extra Photo ____ $10

Natural Photo - - - - -  ____ $35  1 Extra Photo ____ $10

Pajama Wear- - - - - - - ____ $35

Talent - - - - - - - - - ____ $35

Extra Talent - - - -- -  ____ $35

Total- - - - - - - - $  _________

AD Discount- - - - - $ -_________# of pages sold ____@ $100ea

Deposit- - -- - - - -$ -_________
(You MUST pay a $50 or More Deposit with your entry PLUS, turn in Program Book Photos and All AD Sales by January 24th, FIRST ENTRIES IN, LAST IN LINEUP!! I will go by post mark date.)

Jackson Preliminary Discount$ -_________(Overalls $100 OFF) (Division $50 OFF)

Balance Due- $ __________
(You may pay this at the door but it will be **CASH ONLY** at the door-- NO EXCEPTIONS!!!!)

Please read over everything carefully. I know this can confusing!! If you have any questions, please call me and I will be glad to help.

****OUESTIONS????????? Vickie Fisher 601-885-2374****