Name:                                   Division:                                           

Address:                                     City:                           Zip:                               

 Home Phone:                                   2nd Phone:                              

 Age:             Date of Birth:                 Grade:                            

 E-Mail Address: __________________________________________________

School:                                                                  

Parents:                                                               

Brothers/Sisters:                                                            

Special Interests/Hobbies:                                                                                                   How would you promote the Forestry Industry:                                                                                                                                  

I, , give permission for my child, , to be in the Miss Geneva County Forestry Pageant, an Alabama Forestry preliminary pageant.. I understand that the pageant committee and the Geneva High School  are not responsible for any losses or injuries. I agree to abide by all rules listed above and to accept the judge’s decision as final. I, in return, expect to see my scores at a later date following the pageant. If I am chosen a winner, I promise to make every possible effort to attend functions, and etc. as my director deems important.

Contestants Signature:                                         Date :                             

Baby & Teeny Miss - $50.00

Tiny, Little, Petite, & Jr. Miss - $65.00

 Teen & Miss - $75.00

Optional Interview for Tiny - Jr. Miss  - $10.00

Mail Completed Form & Entry Fees to:

Tonya Rodgers

P.O box 1253

Slocomb, AL 36375