How to Enter
Mail Required material to: Amy Kempf
509 Harris St
Pilot Grove, Mo 65276
Checks should be made out to myself Amy Kempf get your entry in early to reserve your spot!! AND try for the first received award!!!!!
PLEASE Fill out the following form with BLUE or BLACK legibly enclose your payment and mail to the address about!! Can’t wait to see you on Feb.5th!!!
Always,
Amy Kempf
FACT SHEET
AS OF FEB 5TH 2011
NAME___________________________________________________ AGE __________________________________
ADDRESS___________________________________________________________
____________________________________________________________
PHONE #________________ E-MAIL______________________________________
FAVORITE COLOR_________________SONG______________________________
FAVORITE TV SHOW___________________________________________________
FAVORITE MOVIE______________________________________________________
AMBITION_____________________________________________________________
_____________________________________________________________________
SIBLINGS_____________________________________________________________
HOBBIES_____________________________________________________________
HAIR COLOR__________________EYE COLOR_____________________________
DAUGHTER OF________________________________________________________
SPONSORED BY_______________________________________________________
________________________________________________________
I have read & fully understand the rules & regulations of this pageant. Show Me Beauties, staff nor the facility where the pageant is held, is in no way responsible for accidents, injury, or theft while at the pageant on route to and from the pageant. I understand the judges’ decisions are final & no refunds will be given.
Signature of parent/guardian:____________________________________________Date:_____________