Wisconsin  American Coed Pageants   

Official State Pageant Application

 This entry form must be completed and mailed to the Wisconsin State office within 10 days.

 Please call (262)-835-4851 if you need more time.  

Check your age group: Must be the age on January 1st, the year of competition:

Princess (3-6)____  Sweetheart  (7-9)____   Preteen  (10-12)____  Jr. Teen  (13-15)____ 

Teen (16-18)____ Coed (19-22)____

Name:___________________________________________________________________________

                        (first)                                                          (middle)                                             (last)

Mailing Address:______________________________________________________Apt #________

City:__________________________State:____________________________Zip:_______________

Phone: (     )___________________________________Birthdate:____________________________

Grade in School:____________________________________ Grade Average: (circle one)     A   B   C

email Address: ___________________________________________________________

Mother's Name:_____________________________Father's Name:___________________________

School & Community Activities & Awards:

Please list activities in order of importance - most recent and most important first.  Give year of activity or award, if possible.  You may list your activities for the past 3 years.  You may attach one extra sheet.  For PRINCESS contestants, list any activities where your daughter has interacted with other children or adults; some examples would be: Pre-School, Sunday School, Dance Classes, etc.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Talents and Hobbies,Etc.: __________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

RULES AND REGULATIONS:

The contestant signed below must compete in her correct age division and reside or go to school in the state where she competes.  She must not have ever been married, have a child, or been pregnant.  She and her parents must give permission to AMERICAN COED PAGEANTS, INC., to use her photographs, speeches, videos, etc., for publicity purposes and future pageant material.  She and her parents agree that the decisions of the judges are final and scores confidential.  The contestant and parent(s) or guardian must sign Official Entry Form.  The State Winner and her court will be eligible to compete for the National Queen's Title in November.

In consideration for being accepted as a contestant in the state pageant, we the contestant and the parents and/or guardians of the contestant individually named below do hereby release AMERICAN COED PAGEANTS, INC., its directors, staff, employees and servants from any and all claims and damages directly or indirectly resulting from named contestant participating in one of the state pageants of AMERICAN COED PAGEANTS, INC.  It is agreed and understood that any of such scholarships are determined by the college. AMERICAN COED PAGEANTS, INC., shall have no liability with regard  to such grants or scholarships either as to amounts or performance.  The state pageant winner will be asked to sign a contract for the year of her reign which will spell out awards and prizes won as well as responsibilities of the state pageant winner.  If the state pageant winner does not sign the contract, she will forfeit her state title and all prizes, scholarships, cash awards, crown, banner and trophy.  IT IS UNDERSTOOD THAT SPONSOR FEES ARE NON-REFUNDABLE.

Contestant Signature:_____________________________________________________________________

Parent's Signature:_______________________________________________________________________

Date:______________________

 PLEASE MAIL THIS ENTRY FORM, PHOTO AND $25.00 REGISTRATION FEE WITHIN 10 DAYS TO

 American Coed Pageants

P.O. Box 100552, Cudahy, WI  53110    Phone: (262) 835-4851 Fax: (414) 571-9246