PHENOMENAL FACES

C/o Dorena Clayborn, 2607 Rt. 75, Kenova, WV 25530

Print this form and mail it along with your entry fee, and photos or click here to pay via PayPal.

Pageant Name:_________________________________________________________________

Name: ________________________________________________________________________

Name you want used on stage: _____________________________________________________

Mailing Address: ________________________________________________________________

Street Address: _________________________________________________________________

Home (___)____-____________Cell (___)____-__________ Work (___)____-______________

Email Address: _________________________________________(we use this to communicate with you)

School or College: _______________________________________________________________

Siblings & Ages :________________________________________________________________

Parents: _______________________________________________________________________

Community Activities: ____________________________________________________________________________________________________

Hobbies/Past times: ____________________________________________________________________

Favorites: Author __________________________ Book _____________________________________

Song _______________________________________ Singer __________________________________

TV Show _______________________ Movie ______________________________________________

Toy:  ____________________________ Person ____________________________________________

Hair Color: _________________________ Eye Color : __________________________

When I grow up I want to: ____________________________________________________________

Sponsors: _________________________________________________________________________

I/We agree to display good sportsmanship at all times, and agree not to hold Phenomenal Faces, Dorena Clayborn, Volunteers & Staff of either or both, place where pageant is held responsible for any accidents/illnesses/injuries/losses incurred as a direct or indirect result of or during transportation to and from said event. I/We also understand the judge’s decision is final. I/We also understand any group with less then 3 contestants can be combined. NO REFUNDS UNLESS PAGEANT IS CANCELED. I understand that pictures may be taken and used for promotional advertising.

Contestant _____________________________________________________Date ____________________

Parent ________________________________________________________Date ____________________

Home  Events  Recent Winners   Pageant Photos  Directors Links  Mailing List  Forum

® 2007 Phenomenal Faces ©