StateEntry

Miss Heart of America Pageants

State Entry Form

All entry materials MUST be in our office by August 7th 2011

Contestant’s Name:

Contestant’s Address :

State in which the contestant wishes to represent:

Contestant's Age Group:

Contestant’s E-mail address:

Optional's: $10 each You do not have to enter any!!! But feel free to !!!!

Please mark which Optional's the contestant wishes to enter. Click link to see which ones you qualify for.

Baby, Tiny Miss Mini, Junior and Teen

Miss and Mrs

YOU MUST SUBMIT NEW PHOTOS/ESSAYS FOR THE OPTIONALS!

send new essays and pictures for the Optional's to: missheartofamerica1@yahoo.com

PUT "STATE OPTIONALS~ CONTESTANT'S NAME" IN SUBJECT LINE

YOU MUST ALSO SUBMIT A FULL LENGTH OR 3/4' PERSONALITY PHOTO...HAVE FUN AND BE CREATIVE! This is NOT a photogenic photo....the judges want to see your personality!

send it to: missheartofamerica1@yahoo.com PUT "PERSONALITY PHOTO~ CONTESTANT'S NAME" IN SUBJECT LINE

IF YOU DO NOT USE THE CORRECT SUBJECT LINE, YOU ENTRY MAY GET MISSED....

Prizes:

What does wearing a crown mean to you?

What makes you believe that you should be crowned State Queen? What would you tell other girls who want to do pageants? Why would you be a good choice for State Queen?

Payment Method:

(Make check payable to: Miss Heart of America Pageants)

Miss Heart of America Pageants

19408 E 59TH AVE

AURORA, CO 80019

State Interview Questions

Total Fees

use: missheartofamerica1@yahoo.com

By typing your name in the box below, you are giving permission to your child to participate in the Miss Heart of America State Pageant.

Signature:

PHOTO RELEASE/AGREEMENT

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

If the contestant wins her state 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 State, I understand that she is not automatically entered into the next level of competition and if she chooses to compete at the 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 your signature Date

You may print this form and mail it in.

$35 Entry Fee + ___ Optionals ($10 each) + Add On's