Hernando Pageant

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Online Pageant Registration!

COUNTRY & WESTERN DREAMS!
HERNANDO COUNTY PAGEANT 2009!

*With Titles Awarded For Pasco And Citrus Counties, Too!

WE'RE SO EXCITED TO HAVE YOU WITH US FOR THIS WONDERFUL EVENT!

The Pageant is open to Contestants from any Florida county - You do not have to live in Hernando, Pasco or Citrus county to enter!

You can Register Online and Secure Your Spot right here!

We use Paypal as our credit card processor. Once you fill out this Entry Form, you will have an opportunity to pay. Otherwise, an invoice automatically generates via email to you within a couple of hours. Once it's paid, your credit card statement will read "PageantPeeps", (our parent company's web site.)

*This Entry Form must be filled out only once per Contestant. Two or more Contestants cannot share one Entry Form. Each Contestant must be processed on their own individual Entry Form.

After you have completed this Entry Form, you will be considered "Registered" and you'll be secured a spot in the Pageant.

We look forward to having you with us in the

Hernando County Pageant on May 9th! *You may notice the date was changed, as well as the location. The event now happens at The Hernando Shrine Club, which features a huge, fabulous T-runway, perfect for modeling!

Call us at our Spring Hill/Brooksville Office number (352) 678-9588 or Tampa Office number (813) 892-5502 with any questions!

*Please note: We always advocate printing out a copy of the Official Printed Entry Form from the web site, as it goes into more detailed information and is good to hold on to, should you have any questions or concerns.

Contestant's First Name:

Contestant's Last Name:

Middle Name: (Optional)

Nickname/Other Name Contestant Uses: (Optional)

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:

State:

Zip Code:

Home Phone:

Other/Cell Phone:

Fax:

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 feel free to attach an additional sheet.

Entry Fee includes all Optional Categories, including Best Dressed, Best Hair, Eyes, Smile and Photogenic. *You may submit up to 3 photos for the Photogenic Competition. They can be any type or size – snapshots, school pictures, professional quality, etc.

*Photogenic is not mandatory - You will not receive points off if you don't have photos.

It's best to bring your Photogenic pictures to the Pageant with you. They also will be available for you to pick up after the competition and take home.

*There will be additional Optional Categories, (also included with your Entry Fee), including "WesternWear" (All Ages), Talent (All Ages), and SuperModel (All Ages). These Optional Categories are NOT MANDATORY and WILL NOT COUNT FOR OR AGAINST YOUR OVERALL SCORE FOR THE TITLE.  They're for fun, photo opportunities, and separate additional prizes!

     *MISS HERNANDO COUNTY, PASCO COUNTY, CITRUS COUNTY 2009 (Ages 18-25) $89.00
    Marital Status Criteria: Not Married/Never Married. Never Had Children.
     *MS. HERNANDO COUNTY, PASCO COUNTY, CITRUS COUNTY 2009 (Ages 18-Up)   $89.00
      *Ladies Of All Ages Encouraged To Enter!
    Marital Status Criteria: Currently Single/Currently Unmarried.

*MRS. HERNANDO COUNTY, PASCO COUNTY, CITRUS COUNTY 2009 (Ages 18-Up) $89.00
*Ladies Of All Ages Encouraged To Enter!

    Marital Status Criteria: Married.
    *TEEN MISS HERNANDO COUNTY, PASCO COUNTY, CITRUS COUNTY 2009 (Ages 13-17) $89.00
    Marital Status Criteria:  Not Married/Never Married. Never Had Children.

GIRLS:	TITLE NAME	AGES	ENTRY FEES
	*YOUNG MISS HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	10-12 Years	$79.00
	*LITTLE MISS HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	7-9 Years	$79.00
	*PETITE MISS HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	4-6 Years	$79.00
	*TINY MISS HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	2-3 Years	$79.00
	*BABY MISS HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	0-23 Months	$79.00
BOYS:
	*MISTER HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	18-Up	$89.00
	*TEEN MISTER HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	13-17 Years	$89.00
	*YOUNG MISTER HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	7-12 Years	$69.00
	*LITTLE MISTER HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	3-6 Years	$69.00
	*BABY MISTER HERNANDO COUNTY, PASCO COUNTY OR CITRUS COUNTY 2009	0-35 Months	$69.00

PLEASE SELECT YOUR DIVISION:
You will be prompted for the appropriate payment amount at the end of this form.

Teen Miss, Miss, Ms. or Mrs. 2009

Baby Miss, Tiny Miss, Petite Miss, Little Miss, or Young Miss 2009

Teen Mister or Mister 2009

Baby Mister, Little Mister or Young Mister 2009

OFFICIAL RULES AND REGULATIONS:

I hereby apply as Contestant in the COUNTRY AND WESTERN DREAMS - HERNANDO COUNTY PAGEANT! (Titles will also be awarded for Pasco and Citrus Counties.) I acknowledge as follows:

I agree to abide by all the rules of the Pageant now in effect or as announced hereafter from time to time.

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. *Also, I am aware that there is s State Competition in July and that I will be encouraged to attend that event.

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 am free to withdraw at any time, but under no circumstances will I be entitled to a refund. There will be no exceptions to this policy.

I 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.

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 or the facility is in no way responsible for any 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 International. Please type your name in the box below. This will serve as your electronic signature that you have read and agree to the terms above. *Parents, please sign for your minor children.

Date:

Please email me updates!

VENDORS: If you know of anyone with a business who might like to set up a Vendor Table at the Pageant, please forward them our number or forward their information to us. *This is a great way for community businesses to get the word out about their services.

SPONSOR INFORMATION – PLEASE SEE SPONSOR SHEET INFORMATION AT WWW.STARSEARCHPAGEANTS.COM!

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 printed in our program book. *We have Sponsor Tickets and information linked to from the Pageant website and on our main website, www.StarSearchPageants.com!

Tickets to the Pageant will be $5 at the door for everyone except Contestant.

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

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