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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
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!
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.
NAME_________________________________________________________________
COLLEGE ______________________________________________________________
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
NAME_________________________________________________________________
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
Full
Name__________________________________________________________________
(As you wish it listed in Program Book)
Home
Town___________________________________________________________________
Social Security
Number__________________________________________________________
Education: High
School___________________________________________________________
(Name of School)
College:
_________________________________________________________________
(Name of School) (Degree Sought)
Graduate School:
_______________________________________________________________________
(Name of School) (Degree Sought)
Career Ambition:
_______________________________________________________________________
_
_______________________________________________________________________
_
Other Accomplishments:
_______________________________________________________________________
_
_______________________________________________________________________
_______________________________________________________________________
__
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?
_______________________________________________________________________
_
_______________________________________________________________________
_
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
*********************************************
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
My Commission Expires:________________________________
***********************
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.
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 Scholarship Amount Awarded $
Miss Scholarship Amount Awarded $
Miss Scholarship Amount Awarded $
Miss Scholarship Amount Awarded $
CONTESTANT SIGNATURE
MISS SOUTH CAROLINA ORGANIZATION
MISS SOUTH CAROLINA SCHOLARSHIP PAGEANT
2009-2010 CONTESTANT RELEASE AND INDEMNITY AGREEMENT
Contestant’s Signature
Parent’s Signature if Contestant is under 18 years of age
Contestant’s Signature