GREEN COUNTY COW DAYS PAGEANT

Official Kentucky State Festival Pageant Preliminary

Age Division            ______________                  Contestant #            ______________

(Please Print)

Name:  _______________________________________________________

Age:  _____________

Telephone Number:  (______) ____________________________________

Mailing Address:   ______________________________________________

______________________________________________________________

Parents: ______________________________________________________

Hobbies/ Interests:    ______________________________________________________________

______________________________________________________________

Favorite Movie:  ________________________________________________

Favorite TV Show:  _____________________________________________

Future Plans:  __________________________________________________

_______________________________________________________________

(0-4 Years)

Favorite Toy:  ___________________________________________________

Favorite Food:  __________________________________________________

I release the pageant directors and place where the pageant is being held of any liabilities of injury, illness, or loss of articles that may occur before, during, or after the pageant.  I also understand that any display of unsportsmanlike behavior will result in disqualification without refund or awards. 

_______________________________                _____________________

                     Signature                                                      Date