Contestants name      Age      DOB 
Address   City:   State    Zip 
Email address    Phone: 
Sponsored by:   Referred by:
Regional Attending:    Date Attending:

PLEASE FILL OUT A SEPARATE ENTRY FORM FOR EACH SIBLING.  APPLY DISCOUNT IN SPACE PROVIDED.

Beauty Division Only $100
Supreme Package $125 (Includes everything EXCEPT Door Badges and additional photogenic entries)
Door Badges ($10 X # of Spectators)
Late Fee Mandatory if entering after the early deadline. $20 Please see paperwork for deadlines.
Deposit (Minimum $80 for first child, $55 for each sibling)	-
Balance Due at Registration

By signing below  you agree that Compassionate Crowns and/or Joyce DeBoer and/or the event hotel are not responsible for any accidents or stolen property before, during, or after the pageant and you relinquish any right to file suit against Joyce DeBoer, Compassionate Crowns or the hotel.  You are also agreeing that all judges' decisions are final and contestant's names and pictures may be used for future advertisement in print, banners, and on the systems personal website.  The director has the right to ADD prizes at any time. Please make checks payable to: Joyce DeBoer.   No personal checks will be accepted two weeks prior to the pageant.  Deposits may be paid by cashiers check, Money Exchange, Western Union, cash, or money order. Anyone entering after two weeks prior to each pageant will be required to pay the late fee.  No exceptions.  Please mail deposits to: Compassionate Crowns C/O Joyce DeBoer, 1310 Coolidge Ave, Pekin, IL  61554.  Any fees due the day of the pageant must be paid in cash only.  Everyone but the contestant and children 2 yrs and under are required to purchase a door badge.  Signing this form constitutes a legal and binding contract.

Digital Signature
Date

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