2012 East Coast Angels Registration Form

Name:

Age as of the day of the pageant:

Phone Number:

address:

email address:

Category, Please circle one: WeeMr. WeeMiss, Little Miss, Jr. Miss, Miss, or Ms.

Pets:

Favorite sport and hobby:

Future Plans:

Grade in School:

Favorite color:

Favorite song:

If you had one wish, what would it be?

Parents Names:

Signature(required):______________________________________

(Contestant if over 18 or parent if under 18.)

By signing this form you acknowledge that East Coast Angels is not responsible for injury, lost, damaged, or stolen goods. Signing also permits ECA to use photos and names on the ECA website and advertisements.

East Coast Angels Registration Form

Category Fee $40 for girls $25 for boys. ___________

Optional Cover Model Fee $10. ___________

Only one photo please.

Will you be competing for Hospitality? Yes/No

This just helps to give us time to get extra Hospitality Prizes ordered. Even if you circle no, you can still go for the Hospitality title. Just contact us to let us know if you decide to do so. Hospitality money is due by November 30^th for raffles and November 20th for Longaberger orders, so we can get things ready for the winner.

Please return both registration forms and fees by November 4th.

Cash, check, or money order made out to Jannell Beal c/o East Coast Angels or East Coast Angels Memorial Fund.

****PLEASE remember to check the dates for the different categories and mark them on your calendar. Not everything is due the same day. Some are due sooner than others. We don’t want to leave anyone out. We want to make sure each order goes out on time and that everyone receives the correct shipments. Thanks!! : ) ****

Please note that we ask parents of the Queens and Kings to please stay behind after the evening pageant to help with the clean up. The extra help would be greatly appreciated. Thanks! :)