Miss North Central Arkansas District Fair Beauty Pageant
Age 16-21 Years  Entry Form  

Contestant’s Name______________________________________________________________

Age ___________Birth date________________  Hair  Color_________    Eye Color_________

Parent’s Name_________________________________________________________________

Mailing Address________________________________________________________________

Telephone Number______________________________________________________________

County__________________________________Email Address________________________

Hobbies or Special Interests______________________________________________________
_____________________________________________________________________________

Memberships in Clubs or Organizations (College students should list high school memberships if no college affiliations are available:___________________________________________________
_____________________________________________________________________________

Other Activities:__________________________________________________________________
_____________________________________________________________________________

My signature gives the North Central Arkansas District Fair permission to publish my name and photo on the Internet (World Wide Web) and to release my name and photo to area media.
Signature of Contestant_____________________________________________________________
Signature of Guardian (if under 18)___________________________________________________

This application must be returned to Miss NCADF Pageant Director with the $15.00 entry fee
by Friday, September 21, 2007 

Mail to: MISS NCADF Beauty Pageant
Post Office Box 910
Salem, AR 72576