Application for 2009 Junior, Teen & Miss Georgia Cotton Scholarship Pageant

1411 Rutland Road, Tifton, Georgia 31793Day 229-388-8008 [Monday thru Friday] or Evening 229-386-5567E-mail address:missgacotton@bellsouth.net mary@chickashaofgeorgia.com Website:www.missgacotton.org

January 31, 2009 at 7 PM

Tift Theatre, Downtown Tifton, Georgia

Age Divisions:Junior Miss Ages 10 - 12 years Teen Miss Ages 13 - 16 years Miss Ages 17 - 23 years

Queens will receive the Official Miss Georgia Cotton Full Round Crown, Crowning Pin, Satin Monogrammed Banner, PersonalizedTrain Case, and Flowers. Junior Miss will receive a $100 Cash Award. Teen Miss Queen will receive a $200 Cash Award and MissGeorgia Cotton Queen will receive a $500 Cash Award. Deadline to enter pageant is January 24, 2009.

Please type or print application.

Name_________________________________________________________Email Address: _____________________________ Phone Number _______________________________ Age as of day of Pageant _______ Birthdate ____________________ Address ______________________________________ City, State, Zip _______________________________________________ Parents __________________________________________ Sponsored by ____________________________________________ School or College ____________________________________________________________________________________________ Special Organizations_________________________________________________________________________________________ ___________________________________________________________________________________________________________ Special Awards/Achievements: _________________________________________________________________________________ __________________________________________________________________________________________________________ Hobbies ___________________________________________________________________________________________________ __________________________________________________________________________________________________________ Favorite Book __________________________________ three words that best describes you are: _________, _________, ________ Why did you enter this Pageant? _________________________________________________________________________________ What is your goal in life? _______________________________________________________________________________________ ___________________________________________________________________________________________________________ _ What qualities do you possess to make a good Cotton Queen? ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ __

I am entering division:Junior ______ Teen ______ Miss ______ 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 ---__________