Babyentryform

Contestant's Name

Contestant's Address

E-mail

Contestant's DOB

Age Group

City the contestant wishes to represent

Parents or Guardian

Interview Questions

What makes this contestant special? Why should she be chosen as a Miss Heart of America Representative?

What does this contestant hope to gain from being a Miss Heart of America City Queen?

Prize Package $20 BASIC FEE

Total entry fees:

You can e-mail your photos and essays for the Optional's to : missheartofamerica1@yahoo.com

Or you can mail them to: Miss Heart of America Pageants, 19408 E 59th Ave, Aurora CO 80019

All paperwork including fees must reach our office by the 1st of June!!!!

Payment

use missheartofamerica1@yahoo.com

We accept check or money order paid to: Miss Heart of America Pageants

Miss Heart of America

On-line Entry Form

Parent or Guardian Signature:

By typing your name above, you are officially allowing your child to participate in the Miss Heart of America Pageant System.

Referred by:

(to be filled out by parent if contestant is under 18)

If the contestant wins her city title, do you consent to her photo being placed on the website of Miss Heart of America?

I am entering the above-named contestant in the Miss Heart of America Pageant. If she is chosen to represent her city, I understand that she is not automatically entered into the next level(s) of competition and if she chooses to compete at the State or National level she will be required to submit the required Entry Form and appropriate fees before the deadline. If the contestant wins a title I/we also pledge to treat the title and the pageant with respect and dignity.

Typing your name in the box will be accepted as your signature. Date

PHOTO RELEASE/AGREEMENT

OPTIONALS: $ 5 EACH ( please check which ones)

Add Ons