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"2009 Butterfly Kisses Pageant"
Fund Raiser for Toombs Forestry Queens
Sunday – May 17th – 3pm
STC – Southeastern Tech
ENTRY FEE ONLY $60
Baby 0-11 mo Teeny 1-3 Tiny 4-6 Little 7-9
Junior 10-12 Teen 13-15 Miss 16 & up
(30 days Grace on age divisions / Divisions may be split or combined if necessary)
Deadline is May 11th - No Practice
Due to limited space in dressing rooms, No hair or makeup backstage.
Only 1 person allowed backstage with contestant.
Please come ready to put on dress. Contestants please check-in by 2:00
No mandatory appearances.
There will be a 1st, 2nd, & 3rd Runner-up in each division.
All Optionals included: Prettiest Dress, Smile, Hair, and Most Beautiful.
PHOTOGENIC $15
The Peoples Choice Winner will receive a Gift Basket
Contestant and 1 parent enters free – Door Admission $5
Name____________________________________________________________________________
Address__________________________________________________________________________
Phone Number____________________________ Email___________________________________
Parents___________________________________________________________________________
Age___________ Eye Color______________________ Hair Color___________________________
Hobbies__________________________________________________________________________
Favorite Food ________________________ Favorite TV Show _____________________________
Favorite Color________________________ School: _____________________________________
What do you want to be when you grow up? ____________________________________________
Current Titles______________________________________________________________________
Parent Signature ___________________________Contestant Signature ____________________
Make all checks payable to Kerri Smith/ –– pay to shimmersandshines@gmail.com
Mail Form To: Shimmers and Shines , 906 E First Street, STE G, Vidalia, GA 30474 Or Drop off
Or __________________________________________________________________________________
*THANK YOU FOR ALL OF YOUR SUPPORT* Visit our website - http://toombsforestry.tripod.com/
DIVISION: ____________________Referred By: ______________________________________
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