Application for 2010 Baby, Teeny, Tiny, Little & Petite

Miss Georgia Cotton Scholarship Pageant

1411 Rutland Road, Tifton, Georgia 31793Day 229-388-8008 [Mon. thru Fri.] Evening 229-386-5567E-mail address:missgacotton@bellsouth.netWebsite: www.missgacotton.org mary@chickashaofgeorgia.com

January 30, 2010 at 4PM Tift

Theatre, Downtown Tifton, Georgia

Age Divisions:Baby Miss Ages 6 months - 23 months Teeny Miss Ages 2 - 3 yearsTiny Miss Ages 4 - 5 years Little Miss Ages 6-7 yearsPetite Miss 8 -9 years

Queens will receive the Official Miss Georgia Cotton Full Round Crown, Crowning Pin, Satin MonogrammedBanner, Personalized Train Case, Flowers and $50 Cash Award. Deadline to enter is January 25, 2010.

Please type or print application.

Name_______________________________________ Email Address: _____________________________________ Phone Number ______________________ Age as of day of Pageant _____________ Birthdate ______________________ Address _____________________________________ City, State, Zip _________________________________________ Parents______________________________________________________________________________________________ Hair Color _____________________________________ Eye Color: ____________________________________________ Sponsored by __________________________________Day Care or School ______________________________________ Hobbies _____________________________________________________________________________________________ ____________________________________________________________________________________________________ Favorite Television Show _______________________________Favorite Celebrity _________________________________ Favorite Color ________________________________ Favorite Song __________________________________________ Favorite Food & Book__________________________________________________________________________________ I am entering division: Baby _________ Teeny __________ Tiny _________ little _________ Petite __________

Entry Fee for Beauty---------------- $ 100.00

OPTIONALS

I am entering Prettiest Dress ------- __________Fee $10I am entering Prettiest Smile -------__________Fee $10I am entering Prettiest Hair --------__________Fee $10TOTAL -------------------------------$_________