Print out this form and mail to address at bottom of form
Colorado Cinderella Preliminary Entry Form
PLEASE TYPE OR PRINT ALL INFORMATION
Win $25 CASH by turning in most referals (min. of 5)

NAME________________________________________________________ PARTICIPANT'S AGE ________

BIRTHDATE ________________________  PARENT/GUARDIAN________________________________

ADDRESS __________________________________________  CITY _____________________________

STATE _____  ZIP __________   EMAIL _____________________________________________________

HOME PHONE (     ) __________________________  WK PHONE  (      ) __________________________

REFERRED BY: _______________ LOCATION OF PAGEANT: __________________________________

AGE DIVISIONS (check one)

q Infant (newborn-11 months)
q Baby (12-23 months)
q Tiny Tot (24-35 months)

Prince Charming Division
q  Newborn-6 yrs. old

q Tots (3-6 years)
q Mini Miss (7-9 years)
q Miss (10-12 years)
q Teen (13-17 years)

q Woman (18-26 years)

Fees

Tot through Teen Divisions
q $75.00 Overall Entry Fee                           
  (Includes competition in Close Up Appraisal, Party Dress, Casualwear and Talent)
q $50.00 Beauty Entry Fee
         (Includes competition in Close Up Appraisal, Party Dress and Casualwear)
q $15.00 Photogenic Girl Fee (Optional)     
  (MUST be entered in one of the above categories to participate)
q $4.00 Insurance Fee (Required)

Total Fees Due $____________

Total Amount Enclosed $______

Baby Divisions (newborn-35 months) &
Prince Charming (newborn-6 yrs. old)
q $50.00 Overall Entry Fee
   (Includes competition in Party Wear and 
    Play time-bring one favorite toy)
q $15.00 Photogenic Fee (Optional)
   (MUST be entered in above category to participate)
q $4.00 Insurance Fee (Required)

Total Fees Due $__________

Total Amount Enclosed $______

We accept checks, cashiers checks, or money orders for mail in entries. No Checks will be accepted the day of the pageant. Make checks payable to: Tracy Tate. Credit cards accepted through PayPal.
Waiver
My child has my permission to enter the Cinderella Preliminary Pageant.  It's directors, local volunteers, the owner of the property where the pageant is being held and all other organizations and persons connected with this event, are not to be held responsible for any injury or loss of property that may be suffered by taking part in the event or as a result thereof.  In this connection, I hereby waive any claims for damages.  In addition, the Colorado Cinderella Pageant has my permission to display any photos or videos, of me and/or my family, taken at any Cinderella Event. All funds are nonrefundable unless your pageant is cancelled and you are unable to attend another preliminary pageant. Any unsportsmanlike conduct before, during, and/or after the pageant will be cause for dismisal from the Cinderella program.
___________________________________Signature of Parent/Guardian
Colorado Cinderella Pageant reserves the right to reschedule the pageant when there are less than twenty applicants. Contact Tracy 719-661-0016

Colorado Springs Cinderella Pageant
6697 Wagon Ridge Dr.
Colorado Springs, CO 80918