NAME___________________________________________________AGE______

BIRTH_______

PARENTS________________________________________________________________________

MAILING ADDRESS____________________________________PHONE_________________

EMAIL ADDRESS_____________________________________________

SPONSOR__________________________________________________________

EYE COLOR:___________

HAIR COLOR__________

HEIGHT_________WEIGHT________

THREE WORDS TO DESCRIBE YOURSELF

____________ _____________ ___________

FAVORITES: COLOR_____________

FOOD_______________

TV SHOW________________

HOBBIES:______________________________________________________________________________________________________________________________________________________________________________

SPECIAL HONORS:_______________________________________________________________________________________________________________________________________________________________________________

SCHOOL ACTIVITIES:____________________________________________________________________________________________________________________________________________________________________________

AMBITION:_____________________________________________________________________________________________________________________________________________________________________________

*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_______________PRETTIEST

FACE_____________BEST PERSONALITY_____________

MISS HOSPITALITY__________________MISS AMBASSADOR________

_TALENT AND TYPE OF TALENT________________________NAME OF SONG_________________________________________

ALL ENTRY FEES MUST ACCOMPANY APPLICATION. NO REFUNDS!!

DIANNE DOMINY -DIRECTOR 229-386-2681

MAIL ENTRIES TO MISS GEORGIA SOUTHERN SWEETHEART  PAGEANT,

3005 CLOVER CIRCLE, TIFTON, GA. 31794

TEEN AND MISS MUST SUBMIT ORIGINAL APPLICATION

ALONG WITH 5 COPIES FOR THE JUDGES