Northeast Miss Georgia Girl Saturday, June 4th, 2011 Registration 2-3 pm The Georgia Mountain Center, Gainesville GA
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I am entering the Miss Northeast GA Pageant. *Photogenic and Dynamic Duo are included.
First Time in Miss GA Girl Pageant Entry Fee $50
Repeat Contestant in Miss GA Girl Pageant Entry Fee $40
WON the online photo contest - FREE
WON $25 off via the online photo contest - $25
Online Photo Contest Contestant Discount of $10 - Entry is $30
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I am entering the age division below. *Contestant must enter the age division that contains their age the day of the pageant.
0-2, Baby Miss - will split if we have 10 or more
3-4, Tiny Miss
5-6, Petite Miss
7-9, Little Miss
10-12, Jr. Teen Miss
13-16, Teen Miss
17-25, Miss
Mrs. Northwest GA
I was refered by:
Office only - Age Division __________________
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Full Name
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Birthdate
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Age as of pageant date
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Name of school
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Grade
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My hobbies include
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My favorite movie is:
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I most admire ......... because.........
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Parents/Husband name
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Address
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City
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Zip Code
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Phone number
Please email me updates
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Email address
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Email address
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Date
Pay via PayPal with a credit or debit card
Payment address is
missgeorgiagirl@bellsouth.net
or you can choose to print and mail form and check (
payable to Pennie Stathes
) to:
PENNIE STATHES
MISS GEORGIA GIRL
2645 LEDGEDALE CT
CUMMING GA 30040
PHONE: 770.833.3842
WWW.MISSGEORGIAGIRL.COM
MISSGEORGIAGIRL@BELLSOUTH.NET
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By submitting this signed application, I understand that all judges decisions are final and will not be disputed. Any negative behavior from contestant, parent or visitor of, will result in contestant disqualification with all awards being forfeited. There are no refunds for any reason. No type of blackmail, slander, bad sportsmanship, or bashing, will be tolerated from contestant, parent or visitor of. All slanderous, damaging, false, detrimental actions, spoken, written, or physical by any contestant, parent or visitor of, regarding this system or individual associated with or a part of, can be prosecuted to the fullest extent of the law. Miss Georgia Girl, Miss Forsyth County, Miss Lake Lanier, Pennie Howard Stathes, John Stathes, or any volunteers can not be held liable for any individuals before, during, or after any event. I understand that
no refunds
will be given for any reason. Any photos taken that contain contestants, parents or visitors of, are the property of Miss Georgia Girl and can be used in promotional advertising. I further understand that without this signed statement, my daughter or myself can not compete in this event. By submitting this entry I understand that I am committing to attend this pageant and understand that if I do not attend, I will be responsible and invoiced for 25% of the total cost (without discounts) of the pageant. *COPYING OF ANY MATERIAL USED AT THIS PAGEANT - WRITTEN, PHOTOGRAPHED, OR VERBAL IS STRICKTLY PROHIBITED. All returned checks will have a $40 NSF charge in addition to any legal fees.
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Indicates Response Required