EmailMe Form - Maine Christmas Angel Pageant Entry Form

Contestant's Full Name

Age as of day of Pageant

Age Division *

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Email

Phone

### - ### - ####

What town is contestant from if different then mailing address:

Please answer as many of these as possible so that we have the most information available for your introduction.

Grade and school attended:

3 words that best describe contestant:

What would you like to do when you grow up:

What are your favorite things to do:

What is your favorite color:

What is your Christmas wish this year:

TOTAL AMOUNT DUE $60 (additional $10 if competing in photogenic). All money is non-refundable *

$ Dollars . Cents

Deposit of 50% due by 11/7/14 in order to secure a place in the pageant. Your place will not be held until deposit or payment in full is received. Please send by paypal (gift option only) to mainechristmasangelpageant@gmail.com or mail to 1051 Kennebec Rd, Hampden, ME 04444 *

$ Dollars . Cents

Remainder due (if paying deposit) by 11/21/14. This includes optional money so that awards can be ordered.

$ Dollars . Cents

By signing below I agree that Robyn Fransen and agents shall not be held responsible for any injuries that may arise by participating in the Maine Christmas Angel Pageant.

Date

MM / DD / YYYY

Payment can be sent by PayPal to mainechristmasangelpageant@gmail.com but you must select "gift" when you send the payment to avoid fees. No payment will be accepted through Paypal that incurs a fee. Please indicate name and age group please.
If paying by check please make checks payable to Maine Christmas Angel Pageant and mail to: Robyn Fransen, 1051 Kennebec Rd., Hampden, ME 04444
If you have any questions feel free to email me or call 356-2487 to reach me directly.