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Application for 2009 Miss Tift County Scholarship PageantAugust 15, 2009 at 5:30 PM, Tift Theatre, Downtown Tifton, Georgia
Mary Walker, Director 229-386-5567 Home or 229-388-8008 Work E-mail address: mary@chickashaofgeorgia.comor missgacotton@bellsouth.net
Age Divisions: Junior 10-12, Teen 13-16 and Miss 17-23
Queens will receive Full Round Crown, Crowning Pin, Satin Monogrammed Banner, Engraved Tray and Flowers. Junior Miss will receive a $75 Cash Award, Teen Miss Queen will receive a $100 Cash Award and Miss Queen will receive a$250 Cash Award. Deadline to enter pageant is August 12, 2009.
Please type or print application.
 Name:Email Address:Phone Number:Age as of day of Pageant: Birthday:Address: City, State, Zip:Parents:Sponsored by:School (Grade) or College (Year):Three words that best describes you:Special Organizations:Special Honors:Hobbies:Favorite Book:What is an interesting fact about you?What are your ambitions/goals in life?
Beauty Entry Fee--------------- $ 75.00Junior Miss ____ Teen Miss ____ Miss ____ 
OPTIONALS
I am entering Prettiest Dress ------- __________Fee $10I am entering Prettiest Smile ------__________Fee $10I am entering Prettiest Hair --------__________Fee $10TOTAL ---__________ 
Make checks payable to Miss Tift County Pageant and mail along with completed application and a wallet head shot to go intothe program book to 1411 Rutland Road, Tifton, Georgia 31793.
The Contestant hereby agrees to indemnify and hold harmless The Miss Tift County Pageant, the Pageant Director and any other entities which might be construed as liable from and against any and all claims for personal injuries, death, damages, cost and/or other expenses including reasonable attorney’s fees arising from or in any way connected with the use of the premises and participation inthe pageant. The Contestant does hereby wave any right of recovery against The Miss Tift County Pageant, the PageantDirector and any other entities which might be construed as being responsible for loss, damage, theft of such equipment, personal property, etc. This agreement is subject to termination by the Miss Tift County Pageant without advance notice or penalty at any time.This agreement is personal to the Contestant and may not be transferred or assigned. In witness whereof, this agreement has beenexecuted as of the date indicated below.
 _________________________________________ Signature of Contestant, Parent or Guardian
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