Contestant's name: 

Age:     Birth date:

Parent/Guardian name:

Address:

City:    State:    Zip:

E-mail::
How did you hear about our pageant?

Tell us three words that best describe you.
, ,

Tell us about your schooling. Grade level
What are your favorite subjects, why? How well do you do in school?

Tell us about what activities you enjoy when you are not in school.

Tell us about any volunteer work you do, or have done.

Tell us about an achievement you are proud of (in any area of your life).

Tell us about your family and what makes them special.
 

Tell us why you should be chosen as a Miss American Rose representative?

BRIEF ESSAY - Tell us what you think are the most important things you hope to achieve in your life.

  By checking here I understand that if I wins my city competition, I have the option to continue on to the next level of competition representing my state, but I am not required to do so. All information on the application is accurate to the best of my knowledge. I promise to respect any title I am awarded and represent the Miss American Rose Royal Family with pride.

I,  (Parent/Guardian) acknowledge that  (contestant) has my permission to enter the 2003 Miss American Rose local competitions.

OPTIONALS:
I wish to enter the following Optional competitions.

Beauty:
I wish to enter the pictures for the Beauty optional.
    I will send my picture(s) by postal mail.
    I will e-mail my picture(s).
I wish to enter an essay for the Beauty Optional.
    I will send my essay by postal Mail
    I am submitting my Beauty essay below.

Community Service:
I wish to enter the Community Service optional.
I will send my Community Service entry by postal mail.    
I will send my Community Service entry by e-mail.
I am using the space below to submit my Community Service information.

Academic:
I wish to enter the Academic optional.
I will send my Academic entry by postal mail. 
I will send my Academic entry by e-mal.
I am using the space below to submit my Academic information (copies of report cards, transcripts, national test scores, etc. my be submitted by postal mail).

Talent:
I wish to enter the Talent optional.
I will send my Talent entry by postal mail.    
I will send my Talent entry by e-mail.
I am using the space below to submit my Talent information.

I wish to enter (contestant) in the
Little Miss competition(6-9)
Jr. Miss competition (10-13)
Teen Miss competition (14-17)

Representing:
1^st choice city, (state)

2^nd choice city,

  Check one: (See Prizes & Rules for more info)
Regular prizes - $35 - Optional competitions $10
Classic prizes - $45 - Optional competitions $11
Deluxe entry - $60 - Optional competitions $13

I have added $15 to receive a Deluxe tiara instead of a Classic tiara.

Check all that apply (see optional fees above):
Community Service Optional
Beauty Optional 
Academic Optional
Talent Optional
I understand that by entering at least two optionals, I will also be eligible for the City Queen title.

+$5.00 - required 2008 shipping surcharge (effective 10/21/07)

$ Total fess submitted

Entry Fees:
I will be sending my entry fee through PayPal
I will be sending my entry fee by postal  mail.

Please send any additional materials by postal mail to:
Miss American Rose
19689 7^TH Ave. NE, PMB 323
Poulsbo, WA  98370

Or by e-mail to miss@americanrose.com

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