Email Full Name * Email * Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Date of Birth * Age as of June 1, 2018 * Parent's Names * High School * Education Graduation Year * Education College Education Graduation Year Education Talent * Please list what your talent will be (if performing) Hobbies * Please list Pageant Experience Please list School Activities, Clubs & Awards/Honors * Please list Volunteering, Community Organizations, Church Groups, Etc. * Please list Future Plans * Please list Contestant's Signature * I understand that falsification of any information on my entry form is justification for immediate disqualification, and that the decision of the pageant directors is final. I also understand and agree not to hold the pageant, pageant directors, or sponsors liable in case of injury or accidents during participation at pageant events or rehearsals. Further, I also grant the Miss DeKalb County Fair Queen Pageant the right to use any photographs or videotapes made during and connected with the pageant, and to use my name with any of the before mentioned promotional efforts on behalf of the pageant. This constitutes the entire agreement of parties and is legally binding. Parent's Signature - If contestant is under 18 years of age on date of signature Parent's Signature $25 Application Fee (non-refundable) * Entry Fee Mailed Please send the entry to: Erin Dove 7188 CR 11A Auburn, IN 46706 By Friday, August 4th
