PAGEANT & TALENT ENTRY FORM APPLICATION
Please type or print clearly. If entering pageant you must also fill out page two.
NAME________________________________________________________
ADDRESS______________________________________________________
CITY, STATE, ZIP_________________________________________________
PHONE_______________________________________________________
BIRTHDATE____________________________________________________
School and Grade__________________________________________________
Type of Talent Performance___________________________________________
Name of Routine________ _________________________________________
Length of Routine__________________________________________________
Please list any and all props or equipment you will need_____________________________
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ENTRY FEES:
Miss or Jr. Miss Talentzone 1998 …………………$75.00……._________
Miss or Jr. Miss Talent Winner …………………...$50.00……._________
Miss Photogenic …………………………………...$15.00……._________
Advance tickets .$5.00ea x ___ + 1(free) =____amount enclosed_________
Please make checks payable to THE ZONE………………total__________
Mail entry to : THE ZONE, 529 US Hwy. #9 So., Waretown, NJ 08758
We hereby release all Directors, Officers or Representatives of this Pageant and Comp-etition from any and all claims for damages or injuries sustained while participating in any activity related to this event.
Signature of Entrant_______________________Date__________
Signature of Parent/Guardian if under 18:
__________________________________
Date___________
Page Two- Pageant Profile-(You may attach a separate sheet if necessary)
My short term goals:______________________________________________________________________
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My long term goals:_______________________________________________________________________
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I feel the most important problem facing young people today is:
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My hobbies and interests are:
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My greatest achievement thus far:
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Person you most admire:______________________________________ Why:
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