1. RULES AND INFORMATION
All school age girls must be registered in school or must have graduated in the 2011-2012
school year.
Girls must not be married or have ever been married.
Must not be or have ever been pregnant or have any children.
Must be ages 3-18.
Must have application and sponsorship/entry fees of $60.00
TURNED IN BY JULY 1, 2012.
(A PORTION OF THIS AMOUNT IS USED TO ORDER CONTESTANT T-SHIRT USED FOR THE INTERVIEW)
After this date, there will be a $15.00 late fee.
The Miss Vernon Area Pageant will consist of two mandatory categories. There will be interviews in
the morning and formal wear in the evening. During the interview each girl will spend
approximately three minutes with the judges. The judges will ask questions from the information
you provide on the application. Interview outfit will consist of pageant t-shirt and jeans.After each girl is
interviewed they will be given the opportunity to practice before the evening competition. We will
also have practices before the date of the pageant and someone will notify you of those dates and
times. For the eveningwear category, the girls will need a formal dress. Points may be taken away
because of distracting accessories, such as large bows, hats or anything else that will draw attention
away from the contestant. The two optional categories are:
Photogenic: Photogenic pictures may be no larger than 8x10’s, and must be turned in during one of
the rehearsals. Fees are to be turned in by the deadline along with the application. You can enter
only one photo, and it can be either color, or black and white. You will need to include name, age,
and the word ‘photogenic’ on a piece of paper, and attach it to the back of your photo. Photos will be
returned after the pageant. (This is an optional category. There will be an extra $15.00 charge)
Portfolio: Portfolio pictures may be no larger than 8x10’s, and must be turned in during one of the
rehearsals. No more than 10 photos can be submitted and no pictures with crowns or banners. Fees
are to be turned in by the deadline along with the application. Please have your name and age
somewhere on the front of your portfolio. Photos will be returned after the pageant. (This is an
optional category. There will be an extra $15.00 charge)
The Miss Vernon Area Pageant will also give an additional award for most ticket sales. Please call
for additional information.
Each of the optional events will have an extra fee of $15.00. All fees must be turned in with the
applications. Please remember the deadline for early entry is July 1, 2012, and there will be a
$15.00late fee for any applications turned in after that date.
You may send applications and fees to:
Miss Vernon Area Pageant
Attn: Candance Martin
P.O. Box 227
Vernon, TX76385
For further information or questions please call:
Candance Martin at 940-886-6272
Best wishes,
Candance Martin
Pageant Director

2. 2012 MISS VERNON AREA PAGEANT ENTRY FORM
Early Deadline for application and fees are July 1, 2012.
(Applications may be turned in after this date with a $15.00 late fee)
Please indicate the age that contestant will be on August 18, 2012.
La Petite Miss ages 3-6______Little Miss ages 7-10______
Junior Miss ages 11-13______Miss Vernon ages 14-18______
NAME__________________________________________________AGE____________BIRTHDATE_______________________
ADDRESS______________________________________CITY__________________STATE________ZIP___________________
PARENTS______________________________________________________HM PHONE________________________________
WK PHONE_____________________________EMAIL ADDRESS________________________________________
SPONSOR (OPTIONAL)____________________________________________________________________________
Please check if you are also entering:
Photogenic______Portfolio______Both______
CONTESTANT FACTS
BROTHERS OR SISTERS______________________________HAIR COLOR_______________EYE COLOR______________
PETS__________________________________________________FAVORITE FOOD____________________________________
INTERESTS/HOBBIES
CURRENT GRADE IN SCHOOL
WHY DID YOU ENTER THIS PAGEANT?
PLEASE GIVE A BRIEF BIO [including hobbies and interests] (This will be used for the MC to read as you walk on stage.
Please feel free to use the answers above to help with this, and put it in the form of a well written paragraph. If you need
assistance, please feel free to call me; I will be happy to help. Feel free to add additional pages if more space is needed.)
*SPECIAL ORGANIZATIONS
*SPECIAL HONORS
*WHAT IS YOUR GOAL IN LIFE?
*DO YOU PLAN TO ATTEND COLLEGE? *IF YES, WHERE WOULD YOU LIKE TO GO?
*WHAT DO YOU WANT YOUR MAJOR TO BE?
*These questions are only mandatory for the Miss Division (ages 14-18), however the younger contestants may also answer
them if they wish.

3. Participant’s Name
As the parents/legal guardian of the participant named above, I do hereby agree to abide by the rules
and regulations as set forth by the Miss Vernon Area Pageant. I agree to hold the Miss Vernon Area
Pageant Director and staff members harmless of any damages or liabilities due to theft, accident or
injury during or resulting from any child’s participation in this pageant. I understand and agree
that in the case of cancellation of the pageant, that said pageant will be canceled without benefit of
refund; however, the pageant will be rescheduled at another time and location. I understand that the
judges’ decisions are final. I understand that failure to show good sportsmanship may result in
disqualification of the contestant without refund and forfeiture of any awards received. I agree
and confirm that all of the enclosed information is true and correct to the best of my knowledge and
belief. I understand and agree that the above named contestant, if declared winner must make two
documented appearances, and return at the end of her reign to crown her successor. I understand
that in the event of known pregnancy, marriage, quitting school or any illegal or immoral activity,
the winner will have to forfeit her title. The first runner-up will then become the reigning queen.
Parent/Guardian’s
Signature Date
Registration Fee (Mandatory) $60.00
*This fee includes t-shirt used for interview*
Photogenic (Optional Event) $15.00
Portfolio (Optional Event) $15.00
****Late Fee (After July 1, 2012)**** $15.00
Total amount due