NAME___________________________________________________AGE_______BIRTH_______

PARENTS________________________________________________________________________

MAILING ADDRESS______________________________________PHONE_________________

SPONSOR________________________________________________________________________

EMAIL ADDRESS:______________________________________________

EYE COLOR:___________HAIRCOLOR__________HEIGHT_________WEIGHT________

THREE WORDS TO DESCRIBE YOURSELF____________ _____________ ___________

FAVORITES: COLOR_____________FOOD_______________TV SHOW________________

*AS THE PARENT/GUARDIAN OF________________________________, I AGREE THE DIRECTORS, PAGEANT COMMITTEE, TIFT THEATRE, DOWNTOWN DEVELOPMENT AUTHORITY, OR ANY OF ITS HOLDINGS ARE NOT TO BE HELD RESPONSIBLE FOR INJURIES, THEFT, OR ACCIDENTS INCURRED DURING, TO OR FROM THE PAGEANT. I ALSO AGREE THE JUDGES DECISIONS ARE FINAL AND ARE NOT TO BE DISPUTED. I ALSO UNDERSTAND THAT IF I ACT IN A DISORDERLY OR DISRESPECTFUL WAY THAT I NOR MY CHILD WILL BE ASKED TO PARTICIPATE IN FUTURE PAGEANTS.

________________________________________________- _____________________________________________________________________________

SIGNATURE OF PARENT/LEGAL GUARDIAN SIGNATURE OF CONTESTANT 18 AND OVER

AGE DIVISION ENTERING_____________________PRETTIEST DRESS________________PRETTIEST SMILE________________PHOTOGENIC_______________BEST PERSONALITY______PRETTIEST FACE________MISS HOSPITALITY__________________

MISS AMBASSADOR_________TALENT AND TYPE OF TALENT________________________

ALL ENTRY FEES MUST ACCOMPANY APPLICATION. NO REFUNDS!!

MAIL TO: GEORGIA SOUTHERN SWEETHEART PAGEANT, 3005 CLOVER CIRLCE, TIFTON, GA. 31794

DIANNE DOMINY -DIRECTOR 229-386-2681