Little/Junior/Teen Miss Apple Dumpling Pageant Application - Deadline: May 20, 2011 *NO APPLICATIONS WILL BE ACCEPTED WITHOUT PAYMENT
Contestant No.___________  (official use)	(check one) Little Miss __  Junior Miss __  Teen Miss __
Contestant Full Name: __________________________________________________  (include full middle name)
Age: ____________              Date of Birth: _________________________________
Address:________________________________________   City State, Zip: ________________________________
Phone Number: __________________________________   Eye Color: ____________ Hair Color: _____________
E-mail Address: __________________________________________
********** Contestant Information **********
1) List interest and hobbies: (instruments, dance, and modeling classes) ______________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
2) Family Members:_____________________________________________________________________________________
____________________________________________________________________________________________________
3) School and Grade Attending in September: ___________________________________________________________
____________________________________________________________________________________________________
4) Has contestant ever participated in a beauty pageant prior to Little Miss Apple Dumpling? __________
If yes, please explain (This information will not be made available to the judges) _________________
____________________________________________________________________________________________________
5) How Did You Hear About Us?: ________________________________________________________________________
********** Photograph Information **********
All Little Miss, Junior Miss, Teen Miss Contestants should contact Deb at Color Graphics at 610-775-1964 to have their complimentary photograph taken on either May 13th and 14th or May 20th and 21st. Contestants who do not schedule with Color Graphics are required to submit their own, non-returnable, photo by May 20, 2011. A close up, head shot is required. Email photos to: heather@konopelski.com
********** Parent Information **********
I have read and fully understand all the rules and regulations as set forth by the Pageant Committee, and further agree to have my daughter present for the judging and crowning events. I, therefore, give my permission for my daughter to participate in the LITTLE, JUNIOR, OR TEEN MISS APPLE DUMPLING PAGEANT. I further understand that all photos sent in or taken during the competition becomes property of the Apple Dumpling Festival and may be used for promotional purposes.
I hearby give permission for the Apple Dumpling Festival to put the contestants name and photo on the website to compete in the Miss People's Choice Award. Yes / No (Circle one)
Parent/Guardians Name: (Please Print)_______________________________________________________
Parent/Guardians Signature: __________________________________________ Date: _______________
Send this application along with a $50.00 check payable to Apple Dumpling Festival to Konopelski Katering 94 Park Ave Sinking Spring, PA 19608 by May 21, 2010