West Virginia Fourth of July Pageant

Teen, Queen & Ms.

First Middle Last

*E-mail:
*Phone Number
Address
SPONSOR

Hometown: Age:
Eye Color: Height:
Hair Color:
Education (current status)

High School:
Level:
College:
Major:

Three Words that best describe you:

School & Community Activities:
Favorite Hobbies & Interests:
Honors & Awards:
QUEEN & MS. Come up with three questions that you would be interested in discussing for
the finalist on stage interview: (only 2 will be chosen)
***************************************************************
PACKET MUST INCLUDE:
_____* Headshot Photo ____ SIGNED Entry Form $___ Entry Fee
Checks written to: WVFOJ
_______________________________ Contestant Signature (13-24)
_______________________________ Parent/Guardian (if under 18)
I agree not to hold WV Quality Pageants or the facility where the pageant is being held liable for injuries or
items in my possession that are misplaced during the pageant. No refunds will be given after the final deadline. I
will promise to maintain good sportsmanship

5th Annual Miss West Virginia Fourth of July Pageant

Teen, Queen & Ms.

PAGEANT INFO
 MAY 22ND 2010

PETERSBURG ELEMENTARY

333 Rig Street .Petersburg, WV 26847

7:30PM

APPLICATIONS DUE MAY 1st fees below are early specials.

** Patriotic Wear- Red, White or Blue Color Cocktail Dress

West Virginia Fourth of July TEEN: (13-16)

$35.00 Entry Fee. Phases of Competition: Photogenic, Patriotic Wear, Evening Wear- NO PERSONAL
INTERVIEWS

•
• Be a good moral character
• Born as Female
• Must be a citizen of the United States and WV
• Required to attend the Fourth of July Parade

West Virginia Fourth of July Queen (16-21)

• Age requirements for the 2011 Miss WV Association of Fairs and Festivals Pageant: Entrant
must be at least 16 as of January 1, 2011 and have not reached over her 22nd birthday as of
January 1st, 2011.
•
• Be a good moral character
• Born as Female
•
• Must be a citizen of the United States and WV
• Length of the rein as WV Fourth of July Queen until Jan. 1st 2010. However, you may be asked
to be Visiting Royalty during spring and summer pageants in the area. Queen is able to compete
in other pageants after competing in the 2010 WV Fairs and Festivals.

***Entry Fee $65 Photogenic, Personal Interview, Patriotic Wear, Evening Wear, Finalist
Interview…..Personal Interview are at 1pm. Contestants arrive at 12pm in Business Attire..You May
leave after interviews.

Ms. West Virginia Fourth of July (Ages 21-24)

Entry Fee: $50 Photogenic, Patriotic Wear, Evening Wear, Finalist On Stage Interview – NO
PERSONAL INTERVIEWS

• Be a good moral character

• Born as Female
• Must be a citizen of the United States and WV

MAIL TO:WVFOJ 144 TANGLEWOOD CT.OLD FIELDS WV 26845 Checks: WVFOJ

 Hotels Homestead Inn &
Motel
Hermitage Inn & Fort Hill Motel
Restaurant (304) 257-1049
www.forthillmotel.co Route 55 & Highway 59
www.hermitageinn.n m/ Petersburg, WV
et/

203 Virginia Ave

Petersburg, WV 26847
Phone: 304-257-1711

Restaurants:

Arby’s Dairy Queen Peking Chinese

Hermitage Inn McDonalds

Pizza Hut Sheetz