TOMATO FESTIVAL PAGEANT 2009
Sponsored by Avery
Order of the Eastern Star # 252
Name:
_______________________________________________________________
Address:
_____________________________________________________________
Phone Number: (Be sure
this is a number with a recorder or that will be answered so you can be given
your interview time) _________________________________________
Parent’s or
Guardian’s names: ____________________________________________
NAMES of both sets
of grandparents: ______________________________________
___________________________________________________________________
Age:
_________________________ Birth Date:
____________________________
Hobbies or what you
like to do in your spare time: _____________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
UNDER 12 MONTHS (BABY MISS)
1-2 YEARS OLD (TINY MISS)
3 - 6 YEARS OLD (LITTLE MISS)
7 - 9 YEARS OLD (PETITE MISS)
10 - 12 YEARS OLD (JUNIOR MISS)
13 – 18 YEARS OLD (MISS TOMATO QUEEN)
ENTRY FEES
$25.00 First Entry Fee _____________ 15.00 Third Entry Fee _____________
$20.00 Second Entry Fee ___________ $0.00 Fourth Entry Fee ____________
Checks should be made payable to Avery Eastern Star # 252 and returned to:
903-684-3825
For Pageant Information call: Jerri Beth Martz-903-684-3470, Lisa Lennon-903-684-3890, Rhonda Schwab 903-684-3005 or Phyllis Stanley-903-244-2210
July 4th.