Independence Day Pageant
Special Addition to Our Pageant This Year
Audience Choice Award
Each contestant may bring a container (box, bag, can, etc.)
decorated with their name and picture.
Audience members may vote for their favorite contestant with
donations.
Every $1 counts as one
vote. The contestant with the most votes is the "Audience
Choice" Winner.
All monies donated will go to The
Lighthouse.
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Age divisions:
Boys 0-23 Mos / 2-5 Yrs // Girls 0-23 Mos / 2-4 Yrs / 5-7 Yrs / 8-10
Yrs / 11-13 Yrs
A King and Queen in each age
division will receive a crown and trophy.
Trophies will also be given in each age division for:
1st and 2nd
Alternate
Red, White, and
Blue Play or Casual Wear
Best Personality /
Stage Presence
All entrants will receive a participation trophy.
Entry Fee is $35.00 for all categories if
received by
June 23, 2008.
Entry Fee after cut-off date and Door Entries will be $45.00.
All proceeds go to benefit The Lighthouse
Print Page, Keep Top for Event Information - Clip Bottom of Form and Mail with Entry Fee to:
Mr. & Miss Independence Day, The Lighthouse, P.O. Box 5375.
Mayfield, Ky. 42066
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Name |
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Phone |
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Birthday |
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Please Circle Boy /
Girl |
Brothers/Sisters |
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Address |
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City, ST, Zip |
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Parents |
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Pet’s Name |
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Parent’s Signature |
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Date |
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FOR AUDITOR ONLY: |
Contestant # |
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Place |
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Age Boys |
0-23 Mos |
2-5 Yrs |
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Age Girls |
0-23 Mos |
2-4 Yrs |
5-7 Yrs |
8-10 Yrs |
11- Up Yrs |
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