| Miss
Apple Dumpling Pageant Application - Deadline:
April 23, 2010 *NO APPLICATIONS WILL BE ACCEPTED WITHOUT PAYMENT |
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| 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 7th or May 8th. Contestants who do not schedule with Color Graphics are required to submit their own, non-returnable, photo by May 9th, 2010. 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) |
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| 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 April 23, 2010 |
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