Miss New England ®
ONLINE APPLICATION SELECT ONE:

Contestant Name:      Date of Birth:
Age at time of this pageant:      Home Phone:
Complete Mailing Address:
                                          City:     State:      Zip Code:
Parents Names (if minor):      Email:
Hobbies & Special Interests:
Ambition for Future:

SPONSORS NAMES-if any (will be mentioned during pageant and printed in book):
 
IF PARTICIPATING IN TALENT:
1. Type of Talent:      Time:
    Song:

2. Type of Talent:      Time:
    Song:

You must provide us with a cued CD of music on Pageant Day

 
We hereby have read and understand all the RULES & REGULATIONS set forth by the pageant and release the Directors and Staff from any and all claims for damages or for injuries we may sustain while participating in any of the pageant activities. We give Couto Pageant Productions, Inc. permission to use any photos or video portion of the pageant weekend for television or publicity purposes. We affirm that all information on this form is true and correct. Parent MUST sign - if contestant is under 18 yrs.


Parent Signature                                                   Date


Contestant Signature                                             Date
SPONSORS are businesses or individuals who can pay your entry fees. This may be parents, friends or businesses. Sponsor fees pay for prize and awards, hotel facilities, pageant staff and all other expenses of producing the pageant. Remember that you can sponsor yourself if you wish!!! Up to 5 sponsors names will be announced during the pageant. This is a tax deduction for any business.
 
Where did you hear of this pageant?
(mailing, advertisment, a friend, etc.)
 
SPONSOR ENTRY FEES
PAGEANT -Ages 6+ yrs.
(Baby & Little Division only - $195.00)        
OPTIONALS
PHOTOGENTIC - $30 each
MODELING - $50 each
TALENT - $60 each
TOTAL
TOTAL ENCLOSED
 
Paypal accepted
COUTOPAGEANTS@AOL.COM
 
IMPORTANT - DEADLINES
Application Form with $100.00 deposit
MUST BE RECEIVED IN PAGEANT OFFICE
BY: 1 Week Prior To Event

WE ACCEPT PAYPAL