Queen’s

Royal Court Application

Non-Competitive

(Girls 13-17 years old)

Full Name: ________________________________________________________________

Address______________________________ City_______________________ Zip________

Date of Birth: ________________ Height:_______________ (Helps in matching Little Sister)

Phone No. ( ) ____________________ Email Address:_______________________

Parents’ Name(s):____________________________________________________________

Name of School attending: _____________________________________________________

I would like to further my education at ____________________________________________

Special training in music, drama, dancing, etc.:____________________________________

Ambition and future plans:____________________________________________________

Talent:___________________________________________________________________

What special achievements, if any, have you earned in school, church or community activities?________________________________________________________________

Give some interesting facts about you for publicity, including hobbies, clubs, school activities, or community activities:______________________________________________________

________________________________________________________________________

________________________________________________________________________

Why do you want to be a member of the Queen’s Royal Court?________________________

__________________________________________________________________________

___________________________________________________________________________

How do you feel about your Czech-Slovak ancestry?________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Photo enclosed _______

(Please send my email to vjam47@aol.com)

Brief family lineage info enclosed ______

“WHAT MY CZECH/SLOVAK HERITAGE MEANS TO ME”

Essay enclosed ______

(Please send my email to vjam47@aol.com)

I hereby acknowledge that I have read the OFFICIAL Rules and Procedures and that I am complying with them in every way and that the personal data is correct.

Signature _______________________________   Date______________________________

Parent(s) Signature _______________________________