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2011 National Entry Form
(or highlight with cursor and right click to save and print)
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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 25354
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 are
received.
(*Note* - Deposit, Entry Form and Photo
is required to be place 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.
E-mail and PayPal to
gorgeousgirls@embarqmail.com
*****IMPORTANT******
Deadline to submit photos for the
calendar is October 25th.
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________$695 Early Bird Package Deal
(Enter on or before
August 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, extra photos or door badges.) Any fees won off do
not apply to the package deals unless the
contest won states otherwise.
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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, extra photos and door badges).
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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, extra photos and door badges). |
________$250 Mandatory Registration Fee
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This fee includes your photo in our
National Calendar, one copy of the calendar
and Christmas Party. (Registration Fee
included only in the package deals) |
________$250 Supreme Package.
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(Includes the Ultimate Grand Supreme,
Grand Supreme, Age Division Supreme,
Division Beauty, Division Face Queen,
Christmas Casual Wear, and 1 B/W Photogenic.
If deposit is postmarked or received by
October 25, 2011.
No event substitutions allowed. |
________$350 Supreme Package.
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If deposit is postmarked or received by
October 25, 2011. $400 after October 25th.
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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 Glitz 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 8, 2011.
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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