Please fill out the following information:  

Contestant's Name
Street Address
Address (cont.)
City
State/Province	Alabama Alaska Arizona Arkansas California Colorado Connecticutt Delaware D.C., Washington Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Maryland Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming OTHER
	If Other:
Zip/Postal Code
Country
Home Phone
E-mail
Parent signature
Contestant's age
Entry fee: $20
Extra photos: $5 each
Unlimited photos: $50
Total:
Date
Comments
Photographer credit

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