CONTESTANT NAME:___________________________
D.O.B.:________ AGE AS OF 10/17/2012 :_____
COMPLETE MAILING ADDRESS:___________________________
______________________________
PHONE NUMBER:__________
PARENTS NAMES:______________
EMAIL ADDRESS:______________________________________
HOBBIES & INTERESTS:______________________________________
FUTURE AMBITIONS:________________________________________
FAVORITE FOODS:_____________________________________________
FAVORITE TV SHOW:____________________________________________
3 WORDS THAT BEST DESCRIBE THE CONTESTANT:
1 ______________________
2 ______________________
3 _______________________
ULTIMATE GRAND SUPREME PACKAGE:
BEAUTY,OCC/VEGAS , ( NATURAL OR GLITZ ) $100.00
BEAUTY, OCC/VEGAS ( NATURAL AND GLITZ) $150.00
OPTIONAL PHOTOGENIC:
2 8X10 PHOTOS ( CAN BE NATURAL, GLITZ OR BOTH) $ 20.00
ADDITIONAL PHOTOS $ 5.00 EACH
BEST AWARDS:
BEST PERSONALITY BEST EYES, BEST SMILE
JUDGED FOR THE NATURAL BEAUTY COMPETITION
BEST DRESSED, BEST HAIR, BEST SMILE
JUDGED FOR THE GLITZ BEAUTY COMPETITION
$ 20.00 IF COMPETING BOTH NATURAL AND GLITZ
$10.00 IF COMPETING ONLY NATURAL OR ONLY GLITZ
MOTHER/DAUGHTER COMPETITION
FATHER/DAUGHTER COMPETITION
$20.00 TO ENTER
TALENT $30.00 IF COMPETING IN PAGEANT OR
$50.00 FOR TALENT ONLY
NOVICE SUPREME NATURAL$25.00
NOVICE SUPREME GLITZ $25.00
PRO SUPREME NATURAL $25.00
PRO SUPREME GLITZ$25.00
PICK A BUDDY TEAM $10.00 FOR ONE OR $40.00 FOR UP TO 6
BEST THEME AWARD $25.00
Total Due………………………………..___________________
Deposit Due to hold spot ……………………………….$50.00
Sibling deposit to hold spot …………………………….$ 10.00
Deposits taken no later than APRIL 22 2012
Total Due At Pageant minus Deposit………....._________________Remainder is paid cash date of pageant
I agree to the following terms of the pageant and have read the Rules & Policies for , BELLAGIRLS PA Recapped That All judges’ decisions are final. That BELLAGIRLS PA or any of its representatives will not be held responsible if injury or theft occurs before, during or after the pageant. I understand that I will be solely responsible for the supervision, safety, and care and well being of my minor children during our stay at the pageant All photos may be used for advertising purposes including: competition photos, comp card prize, and pictures of winners with BELLAGIRLS PA has the right to video or take photographs for use of promotional materials. . I understand that any Bashing of any contestants or any parents WILL NOT BE TOLERATED! Unsportsmanlike conduct will result in loss of titles and awards, and removal from the pageant if necessary as well as banishment from future BELLAGIRLS PA and contests. All fees are non-refundable unless pageant is cancelled. (Fees Will be transferred to next pageant (if emergency situation arise. Examples Death, Births, Car accidents) I show my intent and any time I type my name as a act to sign the document as if I signed by my hand in ink and understand it is legal and binding!
Name ________________________ Date___________
Anna Eckard
Owner and director
deposit can be sent to
36 north 41st street
camp hill, pa 17011
or paypal
www.littlemisshighglitz@hotmail.com
D.O.B.:________ AGE AS OF 10/17/2012 :_____
COMPLETE MAILING ADDRESS:___________________________
______________________________
PHONE NUMBER:__________
PARENTS NAMES:______________
EMAIL ADDRESS:______________________________________
HOBBIES & INTERESTS:______________________________________
FUTURE AMBITIONS:________________________________________
FAVORITE FOODS:_____________________________________________
FAVORITE TV SHOW:____________________________________________
3 WORDS THAT BEST DESCRIBE THE CONTESTANT:
1 ______________________
2 ______________________
3 _______________________
ULTIMATE GRAND SUPREME PACKAGE:
BEAUTY,OCC/VEGAS , ( NATURAL OR GLITZ ) $100.00
BEAUTY, OCC/VEGAS ( NATURAL AND GLITZ) $150.00
OPTIONAL PHOTOGENIC:
2 8X10 PHOTOS ( CAN BE NATURAL, GLITZ OR BOTH) $ 20.00
ADDITIONAL PHOTOS $ 5.00 EACH
BEST AWARDS:
BEST PERSONALITY BEST EYES, BEST SMILE
JUDGED FOR THE NATURAL BEAUTY COMPETITION
BEST DRESSED, BEST HAIR, BEST SMILE
JUDGED FOR THE GLITZ BEAUTY COMPETITION
$ 20.00 IF COMPETING BOTH NATURAL AND GLITZ
$10.00 IF COMPETING ONLY NATURAL OR ONLY GLITZ
MOTHER/DAUGHTER COMPETITION
FATHER/DAUGHTER COMPETITION
$20.00 TO ENTER
TALENT $30.00 IF COMPETING IN PAGEANT OR
$50.00 FOR TALENT ONLY
NOVICE SUPREME NATURAL$25.00
NOVICE SUPREME GLITZ $25.00
PRO SUPREME NATURAL $25.00
PRO SUPREME GLITZ$25.00
PICK A BUDDY TEAM $10.00 FOR ONE OR $40.00 FOR UP TO 6
BEST THEME AWARD $25.00
Total Due………………………………..___________________
Deposit Due to hold spot ……………………………….$50.00
Sibling deposit to hold spot …………………………….$ 10.00
Deposits taken no later than APRIL 22 2012
Total Due At Pageant minus Deposit………....._________________Remainder is paid cash date of pageant
I agree to the following terms of the pageant and have read the Rules & Policies for , BELLAGIRLS PA Recapped That All judges’ decisions are final. That BELLAGIRLS PA or any of its representatives will not be held responsible if injury or theft occurs before, during or after the pageant. I understand that I will be solely responsible for the supervision, safety, and care and well being of my minor children during our stay at the pageant All photos may be used for advertising purposes including: competition photos, comp card prize, and pictures of winners with BELLAGIRLS PA has the right to video or take photographs for use of promotional materials. . I understand that any Bashing of any contestants or any parents WILL NOT BE TOLERATED! Unsportsmanlike conduct will result in loss of titles and awards, and removal from the pageant if necessary as well as banishment from future BELLAGIRLS PA and contests. All fees are non-refundable unless pageant is cancelled. (Fees Will be transferred to next pageant (if emergency situation arise. Examples Death, Births, Car accidents) I show my intent and any time I type my name as a act to sign the document as if I signed by my hand in ink and understand it is legal and binding!
Name ________________________ Date___________
Anna Eckard
Owner and director
deposit can be sent to
36 north 41st street
camp hill, pa 17011
or paypal
www.littlemisshighglitz@hotmail.com
