Little Miss Clarke County Fair Pageant
When filling out this application, keep in mind that some of this information will be used to introduce you to the audience.
First Name
Your answer
Last Name
Your answer
Full Address & City
Your answer
Parent's Phone
Home or Cell-whichever is best to contact you
Your answer
Parent's Email
Your answer
Parents Names
Your answer
Age
(As of August 15, 2016)
Birth Date
MM
/
DD
/
YYYY
Eye Color
Your answer
Hair Color
Your answer
Who is your favorite singer?
Your answer
What is your favorite food?
Your answer
What is your favorite color?
Your answer
How many brothers or sisters do you have?
Your answer
What do you want to be when you grow up?
Your answer
I certify that the foregoing information is true and correct to the best of my knowledge and for any reason this information is not accurate, my daughter will forfeit any Title or Gifts she may receive. I also, understand the rules and duties. I authorize the Clarke County Fair and Ruritan Club to use my child's name and photo for publicity and promotion in print and electronic media.
Parent's Name
Your answer
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