GASPARILLA PAGEANT 2012 - BABIES AND CHILDREN UP TO 13 YEARS OF AGE

This Form MUST BE FILLED OUT ONLINE for your spot to be secured. Register Early!

NO DOOR ENTRIES ACCEPTED.

COME CLAIM YOUR GASPARILLA TITLE NOW!

OFFICIAL ENTRY FORM FOR
THE GASPARILLA CHILDREN'S PAGEANT
(CONTESTANTS 0-13 YEARS OF AGE)

Includes Modeling Professionals on hand for you to speak with. Event will be featured in The Tampa Tribune.

SUNDAY, FEBRUARY 19TH

*SEE THE OTHER FORMS ON WEB SITE FOR
THE STAR SEARCH GASPARILLA MODEL & TALENT SEARCH,
AS WELL AS LITTLE MISS / MR. GASPARILLA GLITZ!

Doing Talent? Give us a call! (813) 892-5502!

Ramada Westshore Conference Center
1200 North Westshore BlvdTampa, Florida 33607

Registration from 10:00 a.m. to 11:15 a.m. for Contestants 0-3 years of age
- Pageant 11:30 a.m.

Registration from 1:00 p.m. to 1:45 p.m. for Contestants 4-13 years of age
- Pageant 2:00 p.m.

Is The Contestant 14 Or Older? If So, Click Here.

You can use this form to Sign Up/Register Online. You can Pay Online with any major credit card or with Paypal. You do NOT need to have a Paypal account.
(We use Paypal as our credit card processor.)

If you choose to mail your payment, here is our mailing information:

Star Search International, 4377 N. Commercial Way, #160, Spring Hill, FL 34606

We look forward to having you with us!
Call us at (813) 892-5502 with any questions or concerns!

Contestant's First Name:

Contestant's Last Name:

Age On Pageant Date:

On Stage, Do You Want The Contestant's Last Name Used?

If Contestant Is Under 18, Give Parent/Guardian Names Here:

Address: (Please Include House/Box/Apartment Number, Etc.)

City:

Zip Code:

Fax:

Home Phone:

Other/Cell Phone:

Email Address:

Other Email Address:

Hair Color:

Eye Color:

Most Admired Person:

Please list hobbies, accomplishments, goals and anything else you would like said while Contestant is on stage: (Please use 100 words or less.)

The Kids' Gasparilla Pageant events are held over two separate days:

*Sunday, February 19th is the Gasparilla Children's Pageant.

Please fill out this Entry Form for the Sunday event only. The Sunday event is the "regular" Gasparilla Children's Pageant, but also features some modeling professionals on hand for you to speak to.

*This Sunday Pageant event is perfect for all pageant participants, girls and boys! Whether you're a first timer or have experience, this is a FUN event!

The Basic Entry Fee is only $99.00! Basic Entry allows you to compete for your Age Division Gasparilla Title in FormalWear - (This is when you wear Beauty/Gown/Dress/Suit/or Sunday Best.)

Your Basic Entry fee also includes the PirateWear Competition and many Optional Categories, as seen below! *You will not be penalized if you DON'T compete in PirateWear. It will not hurt your chances for the Gasparilla King or Queen Age Division Title. *NOTE: No custom music is permitted for Beauty or PirateWear in this Pageant.

The previous day, Saturday February 18th, we are holding Little Miss / Mister Gasparilla Glitz, our Star Search Gasparilla Talent and Model Search and more events for the Teen-Adult portion. These can be entered each by another Entry Form on our web site.

Please Select Your Division Below:

THIS IS FOR THE CHILDREN'S GASPARILLA PAGEANT HELD ON SUNDAY, FEBRUARY 19TH.

Age Breakdown For Girls

0-11 months
12-23 months
2 years
3 years
4-5 years
6-7 years
8-10 years
11-13 years

Age Breakdown For Boys

0-35 months
3-8 years
9-13 years

SUNDAY, FEBRUARY 19TH PAGEANT - Girls 0-13 (Please see web site for age breakdowns.)

SUNDAY, FEBRUARY 19TH PAGEANT - Boys 0-13 (Please see web site for age breakdowns.)

Listed below, you will see all of the FREE Optional Categories you are able to participate in at Gasparilla Pageant 2012! *All are included in your Basic Entry Fee. *The exception is submitting Extra Photos, which can be done for an additional fee.

Please Note: Winning Optional Categories Is Not Necessary To Win Your Age Division Title, but they are fun "extras" that allow you to win great additional Prizes/Recognition!

1. Best Hair

2. Best Smile

3. Best Eyes

4. Best Personality

5. Best Dressed (Judged while in FormalWear)

6. Photogenic - 1 Picture Allowed

7. 2 Extra Photos For Photogenic - $25.00

8. PirateWear - Also Included With Your Entry!

*EXTRA - THESE CATEGORIES ARE NOT NECESSARY FOR YOU TO ENTER. *We strongly encourage any Modeling-Minded Contestants to enter the EXTRA Categories below that pertain to Modeling. Doing so increases your exposure to the Industry Professionals on hand.

These Categories are for EXTRA, ADDITIONAL SPECIAL PRIZES!

SuperModel (Stage Personality) NO SEPARATE OUTFIT REQUIRED. JUDGED IN BEAUTY! Judges looking for that X FACTOR! - $25.00

SpokesModel - Age 4 and Up. Onstage Introduction - $25.00

Modeling Photo Composite / Comp Card - $25.00

Modeling Portfolio - $25.00

ALL 4 OF THE ABOVE - $75.00

OFFICIAL RULES AND REGULATIONS:

I hereby apply as Contestant in Gasparilla and I acknowledge as follows:

I acknowledge that any unsportsmanlike conduct will result in the immediate disqualification of Contestant. This includes conduct by family and friends in attendance.

I agree to abide by all the rules of the Pageant now in effect or as announced hereafter from time to time. I acknowledge the Pageant owns the Federal Trademark of Gasparilla and agree to uphold the spirit of this Federally Trademarked event.

I understand and agree that if selected as the Winner, I will be invited to attend functions as a Titleholder. I further understand that, even if I am not selected as a Winner or Runner-Up, I may be invited to attend some functions on behalf of the Pageant.

I hereby agree that the manner of judging shall be solely within the discretion of the Director and decisions of the Judges shall be final.

I further agree to permit my photograph and name to be used without charge for all publicity and any telecast of the Pageant.

I may withdraw at any time. Under no circumstances will I be entitled to a refund. No exceptions.

I (and/or my parent/guardian) am of good health and moral character and I voluntarily disclose that prior to the date of this Pageant, I have not engaged in any activities which would bring or tend to bring, myself into disrepute, ridicule, or contempt. Speaking ill of the Pageant, Director, judging, etc. shall result in loss of Title and possible legal action.

I agree that I will make no official appearances whatsoever unless authorization is granted. I understand and agree that doing so could result in the loss of my Title and the return of any and all prizes awarded.

I agree that I will not incur any debts on behalf of the Pageant.

Pageant/facility is in no way responsible for any loss, accidents or injury that may occur before, during or after the Pageant.

Failure of the winning Contestant to comply with any of the terms hereof shall result in Entrant’s disqualification, loss of Title and return of any and all prizes awarded.

*This Pageant Is Independently Produced by: Star Search Events International.

Please type your name in the box below. This will serve as your official electronic signature (for yourself or your child if they are under 18 years of age) that you have read and agree to the terms above.

* Date:

AND HERE'S THE BIGGEST WAY TO WIN!
SPONSORS OFFER A WAY FOR YOU TO WIN HUGE AND GET EXTRA PRIZES!5
5 Foot Tall Trophies, Huge Crowns and Other Great Prizes are just some of what you can win by entering the Sposorship Category! Don't Miss Out!

SPONSOR INFORMATION – Please see information at

http://www.AimDirectMedia.com/gasparillatix.doc!

Please List Sponsor(s) In The Box Below.

Sponsors are the people who pay or contribute to the Entry Fee. Sponsors may be family, businesses, or friends. Sponsors can be announced while Contestant is on stage and listed on our program page of our web site. *We have Sponsor Tickets and Information Here!

Upload a Photo for our Online Voting Section! Tell all your friends to go to www.GasparillaPageant.com and Vote For You!

Tiy can enter another Photo if you wish!

How did you hear about us?

If you were referred by a person or business, please list them here:

REFERRALS: Know someone else who might enjoy participating with us? List them here. If they join us, YOU will be eligible for special prizes and recognition!

PLEASE LIST ANY REFERRALS HERE:

YOU'RE ALMOST FINISHED! CONTINUE TO FINISH PROCESSING YOUR REGISTRATION!

Indicates Response Required