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Miss Colleton County

Miss Colleton County

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Pageant application
Pageant application

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Published by: kegoff988707 on Nov 24, 2009
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11/23/2009

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This is your General Contestant packet containing all necessary information to participate.

The pageant date is December 12th in Walterboro, SC. There will be no contestant’s meeting but each contestant will have a one on one meeting with the committee. All paperwork and photos must be submitted by December 4, 2009. If your photo is not submitted by this date it will not be included in the program booklet. Please submit your photo and program information sheet ASAP via email to kegoff98@aol.com. The judges will receive a judges book prior to the pageant that will include your photo, fact sheet, platform and any recognition pages that you may have. Please turn in your information as soon as possible. Tickets will be available at the door for $10 for the pageant and if they would like to stay for the Red Dress Gala the cost for the Gala is $15. You may sell advance tickets for $20 which includes the pageant and Gala. The winners of the pageant will be special guests at the gala. Ticket money must be received by December 4th and your tickets will be given to you when you arrive for your interview. Contestants who sell 5 or more advance tickets will receive a special recognition page in the program booklet and the contestant with the most ticket sales will receive special recognition onstage as well has have their photo on the back cover of the program booklet. If you intend to qualify for this award please submit a photo suitable for the cover with your information.

Teen Contestant Requirements
1 Must be enrolled in eighth thru eleventh grades during the 2009-2010 school year (13-17 years old) 2 Must be of good moral character 3 Must complete the teen fact sheet and other required forms 4 Must submit a $100 entry fee

Miss Contestant Requirements
6 Must be between the ages of 17 – 24 as of December 31, 2010 7 Must be a high school graduate as of July 1, 2010 8 Must be a US citizen 9 Must have a good moral character 10 Must never have been married 11 Must never have been pregnant 12 As Miss Walterboro is a preliminary in the Miss America Organization, there is no entry fee but you will need to raise $100 for Children‘s Miracle Network.
As a part of Miss America’s new National Platform, each contestant must sign

onto www.missamerica4kids.com, register an account, and raise $100 each for every local she wishes to enter up to four. This is mandatory and all contestants must participate to compete. Register for Miss Walterboro under the 2010 pageant year! The phases of competition are as listed below Opening Number- Contestants are asked to wear a red dress. On-Stage Question: -- You will be wearing your opening number outfit. We will ask one question of each contestant, pertaining to either their platform or current events. Interview: Wear an age appropriate outfit like you would wear to a job interview. Teens should not wear a business suit. Swimsuit/ Physical Fitness Wear: Suit of your choice, it may be a one piece or a two piece in good taste. Teen contestants do not wear swimsuits! We are asking that you wear sophie shorts and t-shirt or an athletic outfit of your choice. Talent: -- Your choice – 90 second time limit. This can be singing, dancing, playing an instrument, a dramatic monologue, or any number of other things. Your talent is your decision! Evening Wear: A gown of your choice. Choose a gown that is most flattering for you and wear it with poise and confidence. Try to make a positive statement about yourself. This is a shining moment. Spirit Award Each contestant is ASKED and ENCOURAGED to sell 1 full-page Recognition Page for the program book. The cost is $25.00 for each page. Your AD page will be ALL ABOUT YOU! Your sponsors can be listed on the page along with your picture. Submit your ad pages in Microsoft Word format or you may submit your photos and text via email if you would like for us to design your page. The contestant selling the most Recognition Pages will receive the “Community Spirit Award” prior to crowning on stage. A full page of the young lady will be featured on the winner’s behalf in the program book. The Stephen T. Goff Foundation Award Award is given to the contestant who receives the most $1 votes. The winner will be announced prior to crowning. You may collect votes prior to the pageant as well as during the pageant.

CONTESTANT LOCAL PAGEANT APPLICATION

Miss Walterboro / Colleton County
Title of Local Pageant NAME_________________________________________________________________ MAILING ADDRESS ____________________________________________________ CITY ____________________________________ ZIP CODE ____________________ HOME PHONE ( )_________________ WORK PHONE ( )________________

BIRTHDATE ________________________ AGE AS OF 12/12//09 __________________ HIGH SCHOOL _______________________________ GRADUATED______________ COLLEGE ______________________________________________________________ CLASSIFICATION __________________________ (AS OF TODAY’S DATE) MAJOR _________________________ MINOR _________________________ TALENT: Vocal Dance Twirl Gymnastics Instrumental Monologue Other

TITLE OF SELECTION FOR TALENT ______________________________________ GIVE A BRIEF DESCRIPTION OF YOUR TALENT __________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ IF WE NEED TO CONTACT YOU BY PHONE, WHEN IS THE BEST TIME TO REACH YOU AND AT WHICH NUMBER? _________________________________ Upon receiving the official documents (Release and Indemnity Agreement and the State/Local Pageant Contract) please complete as required and return immediately. Return this application and all required documents no later than __December 4, 2009_________. Mail To: Attn: Karen Sligh 705 Gadsden Loop Walterboro SC 29488

TEEN PAGEANT APPLICATION

Miss Walterboro / Colleton County
Title of Local Teen Pageant NAME_________________________________________________________________ MAILING ADDRESS ____________________________________________________ CITY ____________________________________ ZIP CODE ____________________ HOME PHONE ( )_________________ WORK PHONE ( )________________

BIRTHDATE ________________________ AGE AS OF 12/12/09 __________________ HIGH SCHOOL _______________________________ GRADE LEVEL____________ NAME OF SCHOOL PRINCIPAL ___________________________________________ SCHOOL MAILING ADDRESS ____________________________________________ CITY ____________________________________ ZIP CODE ____________________ PHONE NUMBERS ( TALENT: Vocal ) _______________________________________________ Gymnastics Instrumental Monologue Other

Dance Twirl

TITLE OF SELECTION FOR TALENT ______________________________________ GIVE A BRIEF DESCRIPTION OF YOUR TALENT __________________________ _______________________________________________________________________ _______________________________________________________________________ IF WE NEED TO CONTACT YOU BY PHONE, WHEN IS THE BEST TIME TO REACH YOU AND AT WHICH NUMBER? _________________________________ Upon receiving the official documents (Release and Indemnity Agreement and the State/Local Pageant Contract) please complete as required and return immediately. Return this application and all required documents no later than __December 12, 2009____________.

Mail To: Attn: Karen Sligh 705 Gadsden Loop Walterboro SC 29488

2010 Miss Colleton County Scholarship Pageant EXHIBIT “C” FACT SHEET Full Name__________________________________________________________________ (As you wish it listed in Program Book) Home Town___________________________________________________________________ Social Security Number__________________________________________________________ Age ____________ Date of Birth _____________ (Please attach copy of birth certificate)

Education: High School___________________________________________________________ (Name of School) College: _________________________________________________________________ (Name of School) (Degree Sought) Years attended ________________ Current Class as of September__________

Graduate School: _______________________________________________________________________ (Name of School) (Degree Sought) College Major________________________ Declared Minor?________________

Please attach transcript of most recent semester completed or diploma of college attended. Other colleges attended: ______________________________________________________________________ (Name of School) (Years Attended) (Degree Granted)

Scholastic Honors: _______________________________________________________________________ _ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ____ Career Ambition: _______________________________________________________________________ _ _______________________________________________________________________ _ Other Accomplishments: _______________________________________________________________________ _ _______________________________________________________________________ _______________________________________________________________________ __ What type of talent will you present? _______________________________________________________________________ (You need not give the exact title of your talent presentation here. Merely indicate if you will dance - ballet, tap, etc.; sing - classical, popular, etc.; play a musical instrument name of instrument, comedic monologue, dramatic skit, etc.) Special training in music, drama, dance, art _______________________________________________________________________ _______________________________________________________________________ __ Employment Experience______________________________________________________________ _______________________________________________________________________ _ Father’s name/Occupation _______________________________________________________________________ _

Mother’s name/Occupation _______________________________________________________________________ _ Names/Ages of Siblings _______________________________________________________________________ _ _______________________________________________________________________ _ Other interesting facts about yourself _______________________________________________________________________ _______________________________________________________________________ __

Platform
The Miss South Carolina Organization encourages the young women who participate in the program to become involved in their communities and to speak out on issues of concern to them, their community and the nation. If selected, the winner of this competition, what issue would you choose to focus on during your year of service? _______________________________________________________________________ _ _______________________________________________________________________ _ Miss Walterboro/ Colleton County Scholarship Walterboro, SC (Complete name of Local Pageant) (City where Local Pageant was held)

I certify that the foregoing information is true and correct to the best of my knowledge. _______________________________________________________________________ _ Contestant Signature Date _______________________________________________________________________ _ Local Executive Director Signature Date

CONTESTANTS UNDER 21
********************************************* (TO BE COMPLETED BY THE PARENTS OR GUARDIANS OF ANY CONTESTANT WHO IS UNDER THE AGE OF 21 YEARS ON THE DATE OF SIGNING OF THIS AGREEMENT). We, the undersigned, the parents and natural guardians (or the duly appointed, qualified and acting legal guardians) of _________________________________________________________________, the foregoing entrant, do hereby consent to and agree to all the terms and provisions of the foregoing Contract and the Agreements therein contained on behalf of ourselves, individually and as the guardians of said entrant. We do further agree that we have not heretofore authorized any person, firm, or corporation to use the name, photograph, picture or present or future title, in connection with an endorsement or advertisement of any commercial product for or in behalf of our child, or ward, nor will we do so other than in accord with the terms and provisions of the foregoing Contract. IN WITNESS WHEREOF, we have hereunto set our hands and seals this _________ day of __________________, 20____. WITNESS: __________________________________ (SEAL) _______________________________(L.S.) Signature of Parent or Guardian WITNESS: __________________________________ (SEAL) _______________________________ (L.S.) Signature of Parent or Guardian AFFIDAVIT STATE OF SOUTH CAROLINA:

: SS COUNTY OF : We, the parents and natural guardians (or the duly appointed, qualified and acting legal guardians) of ____________________________________________ state that the information and statements made in the foregoing Contract are true to the best of our knowledge, information and belief. ___________________________________________(L.S.) Signature of Parent or Guardian ___________________________________________ (L.S.) Signature of Parent or Guardian Sworn and Subscribed to before me this _________ day of ___________________, 20____ ____________________________________________ (Notary Seal) Notary Public of _______________________________________ My Commission Expires:________________________________ ***********************

SUPPORTING THE CROWN

2009-2010
Name: Local Title You Are Competing For: Home Address: City /Zip: Home Phone: School Address: City/Zip: Birthdate: School Phone: Age: EVERY MISS AND TEEN CONTESTANT MUST FILL OUT THIS REPORT. 1. Number of Volunteer/Community Services Hours Working with CMN: 2. Dollar Amount Raised for CMN: $ Cell Phone: ______

NOTE: NOTE: CMN totals must be verified by attaching a copy of your contestant’s log to this form. Go to www.missamerica4kinds.org to print off a copy of your log. You are required to raise $100 to compete at the local level.

1. Number of Other Volunteer/Community Service Projects:

List by Project Name (Add a separate sheet if more space is needed):

2. Number of Other Volunteer/Community Service Hours: 3. Dollar Amount Raised for Other Volunteer/Community Service Projects: 1. Total Volunteer/Community Service Hours (CMN and Other): 2. Total Dollar Amount Raised (CMN and Other): $ $

List all local pageants you have competed in from July 2009 – March 2010 and scholarships awarded at each local (Add more lines if needed): Miss Scholarship Amount Awarded $ Miss Miss Miss Miss Scholarship Amount Awarded $ Scholarship Amount Awarded $ Scholarship Amount Awarded $ Scholarship Amount Awarded $

CONTESTANT SIGNATURE MISS SOUTH CAROLINA ORGANIZATION MISS SOUTH CAROLINA SCHOLARSHIP PAGEANT 2009-2010 CONTESTANT RELEASE AND INDEMNITY AGREEMENT
I, ___________________________________, a contestant in the 2010 MISS _Colleton County/ Walterboro______________________________________________ PAGEANT do hereby knowingly and voluntarily release the above referenced Pageant, The Miss South Carolina Organization, The Miss South Carolina Pageant, The Miss America Organization, the Miss America Scholarship Pageant, Inc., their Officers, Directors, Trustees, Judges and Employees and any other person, firm, individual, or corporation charged and chargeable with responsibility or liability, their heirs, administrators, executors, successors, and assigns from and against any and all claims, lawsuits, demands, damages, loss of service, actions and causes of action based upon, arising out of, or in any way related to any honors, rights, or awards sought by me as a contestant in the 2010 MISS _Colleton County__ PAGEANT or in the 2010 Miss South Carolina Pageant or the 2010 Miss America Scholarship Pageant, the conduct of business thereat, the ownership and possession of any honors, tights, or awards thereby, any negligent act, act of misfeasance or nonfeasance by the referred pageants, or any of their agents, contractors, servants, employees or licensees, in conjunction with any honors or awards bestowed at said listed above from any and all claims that exonerate, hold harmless and indemnify such pageants listed above from and all claims that I or my representative may have against such honors, rights and awards. Such indemnification to include any and or all fees (including reasonable attorney’s fees), costs and other expenses reasonably incurred by or on behalf of the above actions or causes of action. I have had a full and adequate opportunity to be thoroughly advised of the terms and conditions of this release and indemnity agreement by counsel of my own choosing. I have also been afforded the opportunity to ask any and all questions that I have concerning this document and its execution by me. I do fully understand if selected Miss Local, Miss South Carolina or Miss America, I will agree to enter into a Management Contract. I do fully understand the terms of this agreement and do intentionally and voluntarily agree to same.

Contestant’s Signature

Parent’s Signature if Contestant is under 18 years of age

Witness’ Signature and Telephone Number with Area Code

NO CONTESTANT MAY COMPETE IN ANY AREA OF COMPETITION IN A MISS SOUTH CAROLINA LOCAL ORGANIZATION UNTIL THIS DOCUMENT IS COMPLETED.

MISS SOUTH CAROLINA TEEN ORGANIZATION MISS SOUTH CAROLINA TEEN SCHOLARSHIP PAGEANT 2010 CONTESTANT RELEASE AND INDEMNITY AGREEMENT I, ___________________________________, a contestant in the 2010 (local) MISS _Colleton County________________ TEEN PAGEANT do hereby knowingly and voluntarily release the above referenced Pageant, The Miss South Carolina Teen Organization, The Miss South Carolina Teen Pageant, The Miss America’s Outstanding Teen Organization, the Miss America’s Outstanding Teen Scholarship Pageant, Inc., their Officers, Directors, Trustees, Judges and Employees and any other person, firm, individual, or corporation charged and chargeable with responsibility or liability, their heirs, administrators, executors, successors, and assigns from and against any and all claims, lawsuits, demands, damages, loss of service, actions and causes of action based upon, arising out of, or in any way related to any honors, rights, or awards sought by me as a contestant in the 2010 (local) MISS ___Colleton County____________________________________ TEEN PAGEANT or in the 2010 Miss South Carolina Teen Pageant or the 2010 Miss America’s Outstanding Teen Scholarship Pageant, the conduct of business thereat, the ownership and possession of any honors, tights, or awards thereby, any negligent act, act of misfeasance or nonfeasance by the referred pageants, or any of their agents, contractors, servants, employees or licensees, in conjunction with any honors or awards bestowed at said listed above from any and all claims that exonerate, hold harmless and indemnify such pageants listed above from and all claims that I or my representative may have against such honors, rights and awards. Such indemnification to include any and or all fees (including reasonable attorney’s fees), costs and other expenses reasonably incurred by or on behalf of the above actions or causes of action. I have had a full and adequate opportunity to be thoroughly advised of the terms and conditions of this release and indemnity agreement by counsel of my own choosing. I have also been afforded the opportunity to ask any and all questions that I have concerning this document and its execution by me. I do fully understand if selected Miss Teen Local, Miss South Carolina Teen or Miss America’s Outstanding Teen, I will agree to enter into a Management Contract. I do fully understand the terms of this agreement and do intentionally and

voluntarily agree to same.

Contestant’s Signature

Parent’s Signature if Contestant is under 18 years of age

Witness’ Signature and Telephone Number with Area Code

NO CONTESTANT MAY COMPETE IN ANY AREA OF COMPETITION IN A MISS SOUTH CAROLINA LOCAL ORGANIZATION UNTIL THIS DOCUMENT IS COMPLETED.

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