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Miss Ward County, Miss Sunflower, Miss Springfest

preliminary pageant to

Miss North Dakota Local & Outstanding Teen Pageant

 

Contestants First Name:  _____________________    Last Name:________________

Address:  _________________________ City:  _________________ Zip: __________

Contestants age:___________                                      Date of Birth:________________

Mother’s Name:_______________________    Father’s Name:_____________________

Phone Numbers: (Home) _____________(Cell) ______________ (Work) ____________

Contact E-Mail Address:_________________________

Name of School: _______________________________Grade (2012-13)_____________

 

Sponsor(s):______________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

Talent Presentation: (Style, Title & Artist)  ____________________________________

_______________________________________________________________________

Explain why you choose it:  _______________________________________________

_______________________________________________________________________

Special Training: ________________________________________________________

_______________________________________________________________________

Plans for the future:  _____________________________________________________

_______________________________________________________________________

Scholastic Achievements/School Activities:  _________________________________

______________________________________________________________________

______________________________________________________________________

Activities/Accomplishments outside of school:  ____________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

 

Other Interesting facts:  ___________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Hobbies:  _______________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Platform Issue (Teen Only):________________________________________________

_______________________________________________________________________

Plans for the future: ______________________________________________________

_______________________________________________________________________

_______________________________________________________________________

 

Please send this completed registration form along with a recent photo of yourself, sponsorship fee ($75.00) by Monday, April 15th, 2013 to:  325 18th St. E. Williston, ND 58801.


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