Miss Teen Southern Newfoundland
Pageant 2010

OFFICIAL APPLICATION

Contestant Number ___________
(For Office Use Only)

Entrant's Name:________________________________________________________________________

Address:______________________________________________________________________________

Town:_________________________________________      Postal Code:________________

Telephone Number(s):    ______________________(Home)      _____________________(Alternate/Cell)

Date of Birth:____________________________ (Copy of birth certificate enclosed)

Hair Colour:____________________________      Eye Colour:_____________________________

School:_______________________________________________________________________________

Grade :___________________

Current Academic Average:___________      Career Goal:_____________________________________

Special Training:_______________________________________________________________________

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Awards & Contests:____________________________________________________________________

____________________________________________________________________________________

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Volunteer Work:_______________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Extra-Curricular Activities:________________________________________________________________

____________________________________________________________________________________

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Sports & Hobbies:______________________________________________________________________

____________________________________________________________________________________

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Travel Experience:______________________________________________________________________

____________________________________________________________________________________

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Language:_______________________(Spoken _________________________(Written)

I/we agree that the rules & regulations have been read, and I/we will abide by these rules & regulations set forth by the Miss Teen Southern Newfoundland Pageant committee, and I/we attest that, to the best of our knowledge, the above information is true and correct.

Contestant's Signature:____________________________________Date:________________



Parent's Signature:_______________________________________Date:_________________

OFFICE USE ONLY:
Date Received: __________________
Receipt No. ($30 fee): ____________
Confirmed for Sept. 18 rehearsal: _________