Georgia’s Miss Public Safety South Georgia Regional Pageant

GMPS will make a donation to the following organizations

Victim’s Service Unit of GriffinPike County Fire Auxiliary

Pike County Auditorium

June 27, 2009

Registration 10:00 and Pageant begins at 11:00

AGE DIVISIONS:

0-18 mos. - Baby Miss, 19-35 mos. – Tiny Miss, 3-5 yrs Toddler Miss, 6-8 yrs Little Miss , 9-11 yrs Junior Miss, 12-14 yrs Young Miss, 15-19 yrs Teen Miss

ENTRY FEES

$75.00 Beauty: Includes Prettiest Hair, Eyes, Smile, and Photogenic and Supreme $25.00 (Optional)

All fees are non-refundable.

PHASES OF COMPETITION:

Beauty: Contestants will model in a “T” pattern. Beauty Dress or Sunday Dress. No makeup on girls 5 and under. Light makeup on 6 and up.

One parent may accompany children under age 4 on stage during competition.

Photogenic: Submit 1 color or black & white recent photo with entry form. Photos are judged on personality of child, not quality of photo.

No GLITZ pictures.

AWARDS:

Round Crown, Monogrammed Sash, and goodie bag. All participants will receive a participation gift. All contestants receive fees off our State Pageant in October.

ADMISSION:

$3.00 (Adults and children over 5 yrs. Of age) Each contestant will be given one (1) free ticket.

FOR FURTHER INFORMATION: visit us at http://www.southgeorgiamisspublicsafety.com

or email:

Sweetheart Title:

Contestant selling the most Wish Tickets will receive a crown, banner, trophy and gift. Wish Tickets are $2.00. Ask your family and friends to help you sell these tickets. Make copies, fill in information, and bring to registration. One ticket will be drawn and that person will receive a gift.(Ticketes are on back of application)

AGE DIVISION: (circle one)

Tiny Miss (0-18 mos.) Baby Miss (19-35mos) Toddler Miss (3-5 yrs) Little Miss (6-8 yrs.)

Junior Miss (9-11 yrs.) Young Miss (12-14 yrs.) Teen Miss (15-19yrs)

Categories Entered:

Beauty ($75.00) ______Discount ______Late Entry for Door Entry ($85.00) ______Supreme ($25.00) _____

Deposit ______Public Safety Discount ______(if any) Fees owed______

NAME: ______DATE OF BIRTH: ______Age:______

ADDRESS: ______

PARENTS:______Email:______TELEPHONE: ______

As parent/guardian of ______, I Understand that members of Georgia’s Miss Public Safety are not responsible for any accident, injury or theft incurred at the pageant or during transportation to and from. Any and all publicity, bookings, parades, etc. will be handled by Georgia’s Miss Public Safety.

Signature of Parent/Guardian ______

Emcee Card

Now taking the stage is (name) ______

She is (age) ______years old and from______

She has (hair color) ______hair and (eye color) ______eyes.

Her favorite food is______. Her hobbies include______

______.Family and Friends say that ______, ______

And______are three words that describe her best. She feels that her best quality is

______. Her future plans are to become a/an ______.

(Name)______is sponsored today by: ______.

Ladies and Gentlemen this is (name) ______contestant #______

Wish Tickets:

Copy and bring to registration with Donation money

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Contestant Name: ______Contestant Name: ______

Donation made by :______Donation made by :______

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