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Senior Ms. Coosa Valley Fair
Deadline for receipt of application is October 1.  You may call Wanda Whitten at 706-235-0665 or email her at whitten0665@comcast.net with any questions!
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Email *
Name: *
Address *
Phone Number *
Sponsoring Group:  (What group or agency do you represent?)  (IF ANY)
Number of children and/or grandchildren:
Philosophy of Life: *
Hobbies and Special Interests: *
Other Interesting facts about yourself: *
Why would you like to be Senior Ms. Coosa Valley Fair? *
Talent:  (What talent will you perform?) *
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