October is Breast Cancer Awareness Month
2nd Annual
Miss Pretty in Pink Pageant
In Memory of Melanie Dianne Faulk
Help Fight against Breast Cancer.
Saturday, October 1, 2005 @ 3:00PM
Moultrie Tech Campus, Sumner GA.
Bring your cutest Pretty in Pink Wear.
All Contestants will walk in memory of someone
stricken with Breast Cancer.
Age Divisions:
0-11 Mos
Baby, 1-2 Toddler, 3-4 Wee, 5-6 Teeny, 7-9 Little, 10-12 Junior, 13-16
Teen, 17-19 Miss, 20 & up Ms. Married or Single.
Entry Fee: $60 includes
Beauty, Prettiest Dress, & *Pretty in Pink Wear.
* Pretty in Pink Wear is an
optional, but is included in the fee, so all contestants are encouraged to
participate. Pick out a pink outfit, doesn’t have to be all pink, something you
feel comfortable in.
© *Pageant
deadline is September 26th. If an application is not turned in by the deadline
the contestant will not receive a T-Shirt. No Exceptions!!! Applications will
still be accepted after the deadline.
© Prizes
include: Custom Sash, Breast Cancer Awareness Pin, Breast
Cancer Awareness Bag of Gifts, Everything PINK!!!!!! 1
Free Month @ South Ga. Model Management in Tifton, Ga. Everyone will receive a gift and Breast
Cancer Awareness Pin. All contestants will receive 1 Free Class to South Ga. Model Management.
Participation Crowns will be given to everyone in the Baby thru Little Miss
competition.
Optionals winners will receive a trophy and gift. Runners-up
will receive a trophy and gift.
© Everyone will receive a Free “Find A Cure” Breast
Cancer T- Shirt*.
Entry Form
(please write clear this is
for the MC)
Please write the person’s
name in which you wish to walk for, it can be in memory of or for a survivor of
Breast Cancer. If you do not have anyone, someone will be provided for you.
________________________________________________________________________
Age Group Competing
___________________
Contestants
Name__________________________________________________________
Address_________________________________________________________________
Age____________________ Eye
Color _________________ Hair Color ______________
Favorite
Color__________________ Favorite TV Show____________________________
Favorite Charity
___________________________________________________________
Why?___________________________________________________________________
If you could go anywhere in
the world where would you go?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Phone
_________________________
By signing I agree to abide by all pageant rules and regulations, I also know that I will be disqualified if I or anyone in my entourage do not abide by the rules and regulations. The pageant committee or a facility are not responsible for theft or accident while in route or at the pageant. My child has my permission to participate in the production and no refunds will be given unless pageant is canceled.
Parents or Contestants
Signature ______________________________________________
Date __________________
Make checks payable to: South
GA Pageant Productions
Mail applications to: 1609
Jimmy St. Adel, GA 31620
Questions: 549-7004 or
896-2212