MT. WASHINGTON SPRING FESTIVAL PAGEANT

MAY 7^TH & 8^TH 2010

PAGEANT APPLICATION

(Print Clearly)  Deadline is Friday, April 30^th, (NO EXCEPTIONS)

Name of Contestant                                                                              Birth date                                

BOY                  GIRL                         AGE AS OF MAY 7^TH  YRS              MONTHS                 

Parents Names:  Mother                                                            Father                                                

Address                                                                                                                                              

Phone Number:   Home                                                            Cell                                                     

Hair Color:                                Eye Color                     Brothers                       Sisters                        

Favorite Food                                                              Favorite Music                                                

Hobbies                                                                       Favorite Pet                                                     

I, the undersigned, do certify that the above statements are true.  I understand that all Contestants must be residents

of the Mt. Washington School Districts and proof of birth may be required.

Parent Signature:                                                                                                                                  

Return to:  Cheri McCain, 4116 Flatlick Road, Mt. Washington, KY 40047

                                         or drop off application to Peoples Bank of Mt. Washington

Any questions call – Cheri McCain: 502-538-3051

Attire for Friday night will be “FORMAL”

Attire for Saturday will be “Tropical Paradise”

ENTRY FEE: $15 for all ages. ENTRY FEE MUST ACCOMPANY APPLICATION.

Photogenic Fee: $5   Photogenic Entry:  Yes                        No                 

(Drop picture off with application, make sure name printed on back of picture)

Make checks payable to Mt. Washington LIONESS CLUB, FEE NON –REFUNDABLE

BOTH PAGEANTS WILL BE HELD IN THE 1^ST BAPTIST CHURCH, GYM.