Apply Now
Your name:
Your email address:
Telephone:
Address:
City, ST Zip:
Parents Name(s):
Age (at time of pageant):
Birth Date:
Your Talent:	(The talent you perform is limited to 2 minutes. A deduction of points will be applied if talent exceeds this limit.)
Division:
Entry fee is $50 for each division DEADLINE July 15, 2008 NO EXCEPTIONS Please mail one clear headshot photo that is no larger than a 3X5 and sponsor names (if applicable) with your signed rules and responsibilities.
Name of School:
Grade:	(We will need a copy of your grades [transcript] from your school)
School or Community Honors and Awards:

School or Community Organizations:

Office you have held in the above groups:

Other honors you have received:

Hobbies:

Volunteer or part-time work:

Future Plans (25 words or less):

Why would you like to become Miss/Teen Scotts Bluff County Fair Queen?:


Applications will not be accepted until original signatures and fee are received. PRINT & MAIL THIS COMPLETED FORM WITH THE SIGNED RULES, PHOTO & FEE TO: Cheryl Engelhaupt 290034 Main Rd Lake Minatare Minatare, NE 69356 (308) 783-2940 or (308) 635-1000 Make checks payable to Scotts Bluff County Ag Society