EmailMe Form - America's Cover Miss & Cover Boy

Pageant town *

Contestants FULL NAME as you want it announced on stage *

Competing as a natural or glitz contestant *

Natural

Glitz

Will decide at registration

Age group *

Hair color *

Eye color *

Hobbies and special interests. *

School or Daycare *

Parents/guardians' name *

Mailing Address....Number, street, state, zipcode *

Home Phone *

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

Cell Phone

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

Do you want to receive Text message updates? *

Yes

No

Email *

Choose the amount you are paying with this registration form. *

$50 Beauty fee

$90 All events if pre-registered 3 days before the pageant

Paying the day of with no discount

Sibling discount of $55 of events

other, please specify when payment is sent

We are selling Ambassador tickets and have sold more than 55 tickets. Please call to report tickets sales at least 3 days before your pageant date. (931)752-5826

Yes I am selling tickets

No

By signing this form online, I agree to the following terms: I will not hold America's Cover Miss & Cover Boy Directors, staff, judges, pageant venue or venue staff liable for any accidents, loss of personal items or sickness before, during or after the event. Bad sportsmanship behavior will not be tolerated. No refunds given unless pageant is canceled indefinately. Savings bonds awarded at a prelim pageant will be awarded as cash value at State finals 2012. Directors have the right to combine or cancel any age group with less than 2 registered. Directors have the right to substitute any award for an equal or greater value replacement. *

I agree to all terms and I am at least 18 years of age and am responsible for the the above contestant.

Name of Parent or guardian completing this online form *