12/04/2019
Miss Merry Christmas Pageant Entry Form
Saturday, December 21, 2019
Check-In @ 10:30 A.M. Pageant Begins @ 11:00 A.M.
EVERY contestant will receive a crown (girls) or medallion (boys)
Full Name:_____________________________________________
Division:___________________________
Age:________
Date of Birth :_____________
Hometown:____________________________________________
Parent(s)/Guardian(s)____________________________________Email:_____________________________Address__________________________________________________________________________
Contact Phone:_(___)______________________
The following answers will be read during the pageant, please print/type clearly.
First & Middle Name Only:_____________________________________________________
Age:__________________Hair Color: _____________
Eye Color:________
Least Favorite Holiday Food:_________________________________________________
Three words that best describe me:______________________________________________________
What Christmas means to me?: _____________________________________________________
Please Check Categories Entering:
___Pageant $30.00
___Photogenic $10.00
____Mr. Christmas Spirit $15.00
___Jr./ Miss Christmas Spirit $15.00
*Please Mail or Hand Deliver Forms & Fees To:
Kish Pool
3503 AR 223 Hwy
Pineville, AR 72566
* Mail-In entries must be Postmarked by Monday, December 16th
*Hand Delivered Entries will be accepted until 12:00 noon Friday,
December 20th at Calico Rock Elementary School h
This Form Must be signed by a Parent/Guardian if a contestant is under the age of 18 years old.
My signature indicates that I agree that the judges’ decisions will be final. Furthermore, I understand that neither the pageant nor its entities are responsible for any accident or injury incurred in travel to, from, or at the pageant itself. The contest and his/her parent/guardian will take full responsibility for and agree to release Calico Rock School and its entities from all liability for any losses, damages, or debts incurred by or made by the contestant in conjunction with the pageant. I hereby apply as a contestant for one of the titles from the Miss Merry Christmas Pageant. In the event, the contestant receives a Queen,1st runner-up,2nd runner-up, or photogenic title, I agree to a photo release for my child’s picture to be published in newspapers. I agree to abide by all the rules and regulations herein set. No refunds will be given. Bad sportsmanship and/or language will not be tolerated.
_____________________________________________
Contestant, Parent, or Guardian Signature
Merry Christmas Pageant
Saturday, December 21, 2019
Check-In @ 10:30 A.M. Pageant Begins @ 11:00 A.M.
In the Calico Rock Elementary Auditorium
Age Divisions
Mister
0-2 years
Baby Miss
0-18 months
Tiny Miss
19 months-2 years
Little Miss
3-5 years
Petite Miss
6-9 years
Young Miss
10-12 years
Jr. Miss
13-15 years
Miss
16-19 years
Crowd Favorite-All
Mister Christmas Spirit
Open to all ages 0-10
Jr. Miss Christmas Spirit
Open to ages 0-10
Miss Christmas Spirit
Open to ages 11 and up
About the Mister/Miss Christmas Spirit- This category is a fun way to be VERY creative by dressing for Christmas. Anything goes as long as the attire is not revealing!! Just a few fun ideas to help you get started: Think, the North Pole and all that goes with it, the Nativity scene, Christmas colors and lights,
your favorite Christmas movie, etc…
For more information call Kish Pool @ (870) 656-5095
ALL Proceeds from this event will benefit the Calico Rock Gifted & Talented Program.
