Thank you for your interest in the 2011 Popcorn Festival Pageant. 

 

The pageant will be held during the Popcorn Festival on the evening of Friday, August 31, 2012.  The girls will also participate in the Popcorn Festival Parade on Saturday morning September 1.  All participants must live within the Midwest Central School District and be 5-7 years of age at the time of the pageant.  The entry form and entry fee must be returned to Bree Kerley by Friday, August 10, 2012.  Entry forms will not be accepted after this date.

 

 

*Please fill out this information as you would like for it to appear in the pageant program.*

 

Name_______________________________________________Birthday___________________________

 

Address_______________________________________________________________________________

 

City_____________________________ State _________________________Zip Code_______________

 

Parents_______________________________________________________________________________

 

Phone Number___________________________ Email Address__________________________________

 

Sibling(s)____________________________________________________________Age ______________

____________________________________________________________________Age______________

____________________________________________________________________Age______________

____________________________________________________________________Age______________

 

These are a few of my favorite things_____________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 

When I grow up I want to be____________________________________________________________

 

I am in __________________grade at Midwest Central Primary School.

 

T-Shirt Size: (Please circle)       Small 6 - 8         Medium 10 - 12          Large 14 - 16
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Please send this entry form and a $15.00 entry fee to:

 

Bree Kerley

c/o Popcorn Princess Pageant

1006 Lincoln Street

Pekin IL 61554-1647

 

If you have any questions, please contact Bree at:

309-241-3969  or   breekerley3@yahoo.com

 

Entry fORMS also available at BERNSHAUSEN AUTOMOTIVE beginning July 7.

 

*Entry forms must be received by Friday, August 10, 2012.*