Beauties of Louisiana
Application Form

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Application

Beauties of Louisiana

Application

Age Division___________

Contestant Number____________

Name:______________________Age:_________Birthday:__________________

Parents:__________________________

Home Phone:______________________

Address:______________________________City:________________________

State:______________Zip:_________

Hair Color:_____________Eyes:_________

E-Mail________________________

School Attending____________________________________________________

Hobbies:___________________________________________________________

Favorite Food:_____________________

Favorite Person:____________________

Sponsored By:______________________________________________________

Teen, Miss, Ms or Mrs. Questions

Answer the 3 questions below and one at random will be asked.

How would you define success?

1.__________________________

What is your ambition or goal, and why?

2.__________________________

Who do you admire the most and why?

3.__________________________

 

DOOR ADMISSIONS

ADULTS $5.00 CHILDREN 10 & UNDER $3.00 CHILDREN UNDER 2 FREE

I understand and agree that the Directors, nor the place of staging, will be held responsible for any accident, injury, theft or personal loss incurred at the pageant or in transit to and from the pageant. I also agree and understand that the Judges decisions are final and poor sportsmanship will not be tolerated.

_____________________

Parent/Guardian Signature

Fees;

Everything is $75.00

MAIL ENTRIES TO: Vickey DiMattia, P.O. Box 1241 Independence La 70443

If this application does not print correctly, please e-mail Vickey DiMattia at
vickey@i-55.com and she will send you a form in the mail.  Thank you

If this application does not print correctly, please e-mail Vickey DiMattia at
vickey@i-55.com and she will send you a form in the mail.  Thank you

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