Miss Teen Southern Newfoundland
Pageant 2010


OFFICIAL APPLICATION


Contestant Number ___________
(For Office Use Only)

Entrant's Name:________________________________________________________________________

Address:______________________________________________________________________________

Town:_________________________________________      Postal Code:________________

Telephone Number(s):    ______________________(Home)      _____________________(Alternate/Cell)

Date of Birth:____________________________ (Copy of birth certificate enclosed)

Hair Colour:____________________________      Eye Colour:_____________________________

School:_______________________________________________________________________________

Grade :___________________

Current Academic Average:___________      Career Goal:_____________________________________

Special Training:_______________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Awards & Contests:____________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Volunteer Work:_______________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Extra-Curricular Activities:________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Sports & Hobbies:______________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Travel Experience:______________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Language:_______________________(Spoken _________________________(Written)

I/we agree that the rules & regulations have been read, and I/we will abide by these rules & regulations set forth by the Miss Teen Southern Newfoundland Pageant committee, and I/we attest that, to the best of our knowledge, the above information is true and correct.

Contestant's Signature:____________________________________Date:________________



Parent's Signature:_______________________________________Date:_________________

Entrance fee of $30 must be submitted with application.
P.O. Box 159
Fortune, NL A0E 1P0


OFFICE USE ONLY:
Date Received: __________________
Receipt No. ($30 fee): ____________
Confirmed for Sept. 18 rehearsal: _________