Miss Washington Pageant

Benefiting Washingtons Municipal Public Library Renovation Fund

~ Saturday, November 9, 2013 ~

Washington Community Center
533 St. Landry Veterans Blvd. ~ Washington LA

$35.00
$40.00
$50.00
$60.00

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~ ENTRY FEES ARE AS FOLLOWS:

Infant thru Tiny Miss
Toddler Miss thru Little Miss
Jr. Deb thru Jr. Miss
Teen thru Mrs./Ms.

Entry forms due by November 6, 2013 $5.00 late fee if entering at the door (cash only at the door)
Photogenic is included Only 1 photo please -No photos larger than a 5 X 7and
no frames. Do not mail photos, bring the day of pageant.

Registration starts at 9:00 a.m.

Contest starts at 10:00 a.m.

~ Dress Attire~
Infant thru Jr. Deb ~ Sunday Best - Please, no pageant hair & makeup, this is a natural beauty contest.
Deb Miss thru Ms. ~ Formal gown - light makeup
Judges are looking for personality, poise, and natural beauty.
Teen, Miss and Ms./Mrs. Contestants will need a 30 second on stage introduction.
No Interviews Teen, Miss & Ms./Mrs. are contracted titles.

Washington Queens will receive:

Beautiful Rhinestone Keepsake Crown, Award & Monogrammed Banner
1st, 2nd, and 3rd alternate will receive an award
Photogenic will receive nice frame
Side awards (Best Fashion, Prettiest Eyes, Hair and Smile) receive awards
Directors: Vee Pelafigue (337) 879-2392 (after 6 p.m.) vpelafigue@yahoo.com
Desirea Vicknair (337) 793-0920
AgQueen85@yahoo.com
Map http://townofwashingtonla.org/directions.html
$5 Admission - ages 5 & under free
***Please let your guest know that everyone except contestant must pay admission at the door.

Entry Form

Contestant #_______

(Check Category)

INFANT MISS 0-6 MTHS.

______

JUNIOR DEB 8-9 YRS.

______

BABY MISS 7-14 MTHS.

______

DEB MISS 10-12 YRS.

______

TINY MISS 15-23 MTHS.

______

JUNIOR MISS 13-14 YRS.

______

TODDLER MISS 2-3 YRS.

______

TEEN MISS 15-16 YEARS.

______

PETITE MISS 4-5 YRS.

______

MISS 17-23 SINGLE

______

LITTLE MISS 6-7 YRS.

______

MRS./MS. 24+ MARRIED/SINGLE

_______

NAME:_________________________________________________________________________
ADDRESS:______________________________________________________________________
STREET

CITY

ZIP

EMAIL: ____________________________PHONE: ____________________________________

AGE:_________________________________ D.O.B. ___________________________________
PARENTS:______________________________________________________________________
HAIR COLOR:__________________________ EYE COLOR:_____________________________
SCHOOL: ________________________________GRADE LEVEL: _______________________
FAVORITE COLOR: _____________________________________________________________
FAVORITE TV SHOW:____________________________________ _______________________
FAVORITE FOOD: _______________________________________________________________
FAVORITE SONG:________________________________________________________________
AMBITION IN LIFE:
HOBBIES:_______________________________________________________________________
SPONSOR:______________________________________________________________________
We will not hold the Washington Community Center, the Town of Washington, or the Pageant Directors responsible for any
loss or injury to personal items or for any personal injuries that may occur during this event. We understand that the judges
decisions are final. Judges will be highly qualified and not from this area. Scores will not be posted. If you wish to receive
your childs scores please bring a self-addressed stamped envelope along with $3 the day of the pageant.
All entry fees are non-refundable.
PARENT/GUARDIAN SIGNATURE: _________________________________________DATE: ________________
Mail this application along with payment to:
City of Washington
P.O. Box 218
Washington, LA 70589
----------------------------------------------------------------------------------------------------------------FOR OFFICE USE ONLY

PAID:

CASH / CHECK (circle one)

CHECK # ________________

ENTRY FEE $_____________

MONIES RECEIVED BY: _____________________________ DATE: __________________________________