Please fill out all required fields - fields marked * are not required. If the field is required and does not pertain to you place a NA in the form field.

NES MICHIGAN STATE PAGEANT ENTRY FORM

Name:
Address: City: State/Zip::
Phone #    E-mail
Referred By:    DOB :
Parents Name (if minor) :
3 Words that Best Describe Contestant:
Hobbies, Activities:
Sponsors:

Referred by:

I have read and I fully understand the rules:
I have read and I fully understand the rules and regulations of The NES Pageant. I certify that all information contained on this application is true and correct. I understand that incorrect information can result in forfeiture of all titles/prizes received. The Owners, Directors, or Staff of The NES Pageant, or it's host hotel will in no way be held responsible for accidents, or injuries incurred during or while in transport to or from the pageant. I understand that the judges decisions are final and paying of said fees and signing this form constitutes acceptance of those decisions. Any and all photos or videos of contestants may be used by The NES Pageant for advertising and promotional materials.

Signature of Contestant OR Parent/Guardian (if contestant is under 18) and Date:

Mail deposit to:

Amber Fleming

526 W. 14th St. #155

Traverse City, MI 49684

Phone: (231)632-3742

 

All questions can be directed to: Amber

Direct all questions to Amber at nesmipageant@gmail.com  or (231)632-3742

 - Paypal to nesmipageant@gmail.com

Visit our website at http://www.nespageants.com/NESMI.html

 

BEAUTY  $95 


Check all optionals you want to enter
Casual/Runway, Swimwear/Fitness, Natural Photogenic   Talent

 OPTIONALS-  $40 each #
 

EXTRA PHOTOGENIC PHOTOS ---Extra number* @$10 

 

SIDE AWARDS  $40 (enters you in all 3 - PER DIVISION) - (free if deposit is in by 6/30)

and

MOST BEAUTIFUL TITLE (facial Beauty score only)- $40 (free if deposit is in by 7/30) 

REGISTRATION FEE MANDATORY - reg. fee----$70
Registration Fee-Required (includes 1 parent admission pass and DVD of pageant provided by Diamond Grafix                          


Extra Admission Passes (12 & under FREE)
# Extra Passes
* @ --$10 *

EARLYBIRDS

Earlybird 1 - If deposit is paypaled or postmarked by 6/30 you will be entered in the Side awards and Most Beautiful FREE-

Earlybird 2 - If deposit is paypaled or postmarked by 8/1 you will be entered in the Most Beautiful FREE

 

TOTAL:
Deposit:
(Min $150 )
Due:
Paid in Full by: Aug 7th, 2009


We will charge you our bank charge +$10 for any returned checks.

LineUp Choice Beginning Middle End (1st app/deposit in per division gets choice etc)
********************************************************************************
 

All checks and MO's should be made out to

Amber Fleming

526 W. 14th St. #155

Traverse City, MI 49684

Phone: (231)632-3742

Paypal to nesmipageant@gmail.com    Email: nesmipageant@gmail.com

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