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Miss Southern Sweetheart Pageant
Application for Baby, Teeny, Tiny, Little & Junior Divisions
Name_______________________ Age______ Birthday___________
Parents__________________________________________________
Mailing Address_____________________ Phone________________
Sponsor_________________________________________________
Email Address____________________________________________
School:______________________________________
Eye Color:_________ Hair Color:__________
Height:____________ Weight:___________
Three words that describe yourself: _____________ ____________ ____________
Favorites:
Color:__________ T.V. Show:______________
Food:_______________
* AS THE PARENT/GUARDIAN
OF________________________________, I AGREE THE DIRECTORS, PAGEANT COMMITTEE, WAYCROSS MIDDLE SCHOOL, OR ANY OF ITS HOLDINGS
ARE NOT TO BE HELD RESPONSIBLE FOR INJURIES, THEFT, OR ACCIDENTS INCURRED DURING, TO OR FROM THE PAGEANT. I ALSO AGREE THE
JUDGES DECISIONS ARE FINAL AND ARE NOT TO BE DISPUTED. I ALSO UNDERSTAND THAT IF I ACT IN A DISORDERLY OR DISRESPECTFUL WAY
THAT I NOR MY CHILD WILL BE ASKED TO PARTICIPATE IN FUTURE PAGEANTS.
Parent Signature:_______________________________
Signature of contestant: (if able)____________________________
Age division entering ($50):__________________
Prettiest Smile ($10):_____ Prettiest Eyes ($10):_____ Prettiest Dress($10):_____
Best Personality ($10):______ Photogenic($10):______
Extra photos ($5):________
Total Amount:___________
Cash:_____ -or- Check #:_______
All fees must be accompanied by application. No Refunds!!
Mail to: Miss Southern Sweetheart
101 Plantation Dr.
Waycross, GA 31501
Hart Hopkins, director, 912-337-9998
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