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2010 National Entry Form
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A $200 deposit must accompany
all entries. No Checks accepted!
Any Questions call (276)
646-5602
Mail to: Shelia Call *255 Middle
Fork Road* Marion, VA 24354
No Door Entries will be
accepted!
The line-up for each
age division is determined by
the date your
entry, deposit and photo for the
calendar is received
(*Note* - Deposit, Entry Form
and Photo is required to be
placed in line-up)
First in, last out or your
choice. We honor request for
line-up on a first come, first
serve basis.
Submit a wallet size photo for
the calendar. You may send your
photo by mail or by e-mail in
JPG format.
Deadline to submit photos for
the calendar is October 20th.
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________$695 Early Bird Package Deal
(Enter on or before July 30th)
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(Includes registration fee, supreme package
and all optional events on the form. Does
not include the calendar cover contest,
sweatshirt, and door badges. No other
discounts won will apply)
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________$795 Second Chance Package Deal
(Enter on or before Sept 15th)
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(Includes registration fee, supreme package and all optional events on the form. Does not include the calendar cover contest, sweatshirt, and door badges. No other discounts won will apply)
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________$875 Last Chance Package Deal
(Enter on or before November 1st)
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(Includes registration fee, supreme package and all optional events on the form. Does not include the calendar cover contest, sweatshirt, and door badges. No other discounts won will apply) |
Save $ by entering one of the Package
Deals!
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________$395 Supreme Package.
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(Includes the Ultimate Grand Supreme, Grand Supreme, Age Division Supreme, National Beauty, Division Face Queen, Christmas Casual Wear, and 1 B/W Photogenic. If deposit is postmarked or received by October 5, 2010. |
________$445 Supreme Package.
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If deposit is postmarked or received by October 20, 2010. $475 after October 20th.
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________$225 Mandatory Registration Fee
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This fee includes your photo in our National Calendar, one copy of the calendar and 1 door badge.
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________$30 Sweatshirt (needed for crowning)
Youth 2-4_______ 6-8________ 10-12________ 14-16_______
Adult S ________ M_______ L_______ XL______XXL______
Optional Events (Not included in the Supreme Package and
not required to enter)
(Check which one(s) you will be entering)
________ $95 Level Supreme
________ $95 Outfit of Choice
________ $55 Side Awards: Most Gorgeous Dress, Smile and
Hair
________ $85 Color Photogenic
________ $85 Natural Photogenic
________ $85 Composite
________ $85 Print Model
________ $95 Gorgeous Girl Face Supreme
________Sub Total
________ - Less any Certificate (fees won)
_________________________________________________________________
Cannot be
combined, highest amount may be used. List which state,
photo contest or other discount that was won.
________ - Less $200 Deposit * No Checks Accepted* Money
Order or Cashier's Check only
(Any certificate (fees won) cannot be used as your
required deposit)
________ Balance due at Registration (Cash Only) - No
PayPal accepted after November 10, 2010.
Contestant’s Name
________________________________________________
DOB______________ Age Division _______
Address
______________________________________________________________________________
City
______________________________________________State______
Zip____________________
Parents
_____________________________________________________________________________
Phone (____)________________________________________________________________________
E-mail
______________________________________________________________________________
Referred By
__________________________________________________________________________
I have read and understand all rules and regulations. I
release AGG, Shelia Call, staff and event location from
all liability from any injury, loss or illness that may
occur at, or to/from the pageant. No refunds or transfer
of fees paid. I have provided all true and correct
information. Should age or level status be found untrue,
I will be responsible for returning all awards and /or
paying court fees should legal action be necessary. I
give my permission for any photos or videos of my child
to be used in future promotional advertising. All
judges’ decisions are final!
Poor sportsmanship will not
be tolerated. I can be disqualified with no refund at
the Director’s discretion.
Parent’s Signature:
______________________________________________________________Date:_________________________
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