2008 Pageant Applications

Tiny Miss, Little Miss, and Junior Miss Cumberland Mountain Fall Festival
(Please Circle One)

Name: _____________________ Age: _

Address: _____________________________________________________

City: _____________________ State: _______________ Zip: __________

Phone: (____) _____________ Birthday: ___________________________

Grade in School: ______________________________

Parent/Guardian Name: ________________________________________

School, Community Activities, Awards: List activities in order of importance – most recent and important first. Use Outline Form. Give the year or activity or award, if possible. You may list your activities for the past 3 years. Attach on extra sheet, if needed.

________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

Talents and Hobbies, etc.:

_______________________________________________________________________________________________________________________________________________________________________________________

Include a Recent 5x7 Photo of your choice

Entry Fee: $50.00 (NON REFUNDABLE)

All entries must be received by September 30, 2008

Check in for Tiny Miss Cumberland Mountain Fall Festival will be 4:30 p.m. Friday October 3, 2008. Pageant will begin promptly at 5:00 p.m. in the Middlesboro Community Center.

Check in for Little Miss Cumberland Mountain Fall Festival will be 9:30 a.m. Saturday October 4, 2008. Pageant will begin promptly at 10:00 a.m. in the Middlesboro Community Center.

Check in for Junior Miss Cumberland Mountain Fall Festival will be at 10:30 a.m. Saturday October 4, 2008. Pageant will begin promptly at 11:00 a.m. in the Middlesboro Community Center.

Parent/Guardian Signature: _____________________________________

Contestant’s Signature: ________________________________________

No Entries will be accepted at the door