2007 Izard County Fair Pageant
Entry Form

Please circle the division entering:

0-18 mo. Baby Mr.               19 mo.—3 yr. Tiny Mr.                3-5 yr. Little Miss

0-18 mo. Baby Miss            19 mo. -2 yr. Tiny Miss                6-9 yr. Petite Miss

10-12 yr. Young Miss         13-15 yr. Junior Miss                16-21 yr. Miss Izard County

Photogenic:  Yes_______     No______   Only _______

$10.00 Additional Fee if entering Photogenic Contest!

Name:______________________________Divison:____________ Age:_____

 
DOB:___________Address:_________________________________________

 Parents:__________________________________Phone#:_________________

 Color of Hair:____________________________Color of Eyes:______________

 Sponsor (optional):__________________________________________________

 Hobby (optional):___________________________________________________          

Please submit registration along the $15.00 entry fee to:
                                                                                                           Izard County Fair Pageant
                                                                                                                        P.O. Box 775
                                                                                                               Melbourne, AR  72556

                                                                                                        Tiffany Webb – (870) 346-5925
                                                                                                         Kathryn Lamb-(870) 346-5237
                                                                                                          Kenya Wyatt-(870) 368-7162
 

All entries MUST be RECEIVED before September 17, 2007
or subject to a $10.00 late penalty at registration.