Miss Apple Dumpling Application : Apple Dumpling Festival

Miss Apple Dumpling Pageant Application - Deadline: May 20, 2011 *NO APPLICATIONS WILL BE ACCEPTED WITHOUT PAYMENT

Contestant No.___________ (official use)	Phone Number: ________________________

Contestant Full Name: __________________________________________________ (include full middle name)
Age: ____________ Date of Birth: _________________________________
Address:________________________________________ City State, Zip: ________________________________
E-mail Address: __________________________________________
******** Contestant Information ********
1) Name of High School, Years Attended & Graduation Date: _____________________________________________
____________________________________________________________________________________________________
2) Name of College, Major, Years Attended & Graduation Date: __________________________________________
____________________________________________________________________________________________________
3) Additional Education Background: ___________________________________________________________________
____________________________________________________________________________________________________
4) How Did You Hear About Us: _________________________________________________________________________

Height: _________ Weight: _________ Eye Color: _________ Hair Color: _________
T Shirt Size: S M L (circle one) Gym Shorts Size: S M L (circle one)
******** Photograph Information ********
All Miss Apple Dumpling Festival Contestants should contact Deb at Color Graphics at 610-775-1964 to have their complimentary photograph taken on either May 6th and 7th or May 20th and 21st. Contestants who do not schedule with Color Graphics are required to submit their own, non-returnable, photo by May 20th, 2011. A close up, head shot is required. Email photos to: heather@konopelski.com
******** Contestant Agreement - Read Carefully ********
I have read and fully understand all the rules and regulations as set forth by the Pageant Committee. I, furthermore, agree that the decisions of the pageant judges are final. Judges score sheets are considered to be the legal property of the festival committee. To protect the privacy of all contestants, the judges score sheets will not at any time be released to the public. Requests for individual scores may be made by me (the contestant) in writing to the pageant director, no sooner that one (1) month following the crowning ceremony. I also understand that if I am crowned Miss Apple Dumpling and must relinquish my Miss Apple Dumpling crown for any reason whatsoever, including but not limited to winning an additional title during my reign, the Pageant Committee retains the right to request the return of all prizes won as Miss Apple Dumpling as follows: crown, banner, trophy and scholarship award. 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)

Contestant's Signature: _______________________________________________ Date: _______________
Parent/Guardian's Name: (Please Print)_______________________________________________________
Parent/Guardian's Signature: __________________________________________ Date: _______________
******** Sponsor Information ********
Company Name: __________________________________________________ Contact:__________________________
Address:________________________________________ City State, Zip: ________________________________
Phone Number: ___________________________________ Fax Number: __________________________________
Sponsor Name: (as it is to appear on sash) _________________________________________________________
Send this application along with a $95.00 sponsorship check payable to Apple Dumpling Festival to Konopelski Katering 94 Parke Ave.Sinking Spring, PA 19608 by May 20, 2011
OFFICE USE: CHK #: ______________ CAT: L J T DATE PAID: _____________