SPOTLIGHT INDUSTRY PRESENTS
Rising Starz State Pageant Entry Form
Pageant Location_____________
Pageant Date________________
Glitz _________ Natural ___________
Contestant Name______________________________________________D.O.B.:____________________ Age as of 11/27/10:______
Parents Names:__________________________________________ Address_______________________________________________
City_____________________________________ State___________________ Zip ________________
Phone ( )___________________________________________ Fax ( ) ______________________________________
Area Code Area Code
Email ___________________________________________________________REQUIRED FOR ALL CONTESTANTS
How did you hear about us? Mailing_____ Web Surfing_____ Media_____ Other_____ Referral_____ By Whom________________
EMCEE INFORMATION :
Hair Color:___________________ Eye Color: _______________________________
Person I admire most is: _____________________ because __________________________________________________________________
Hobbies & Interests:____________________________________________________
Plans for the future:____________________________________________________
Favorite Thing about Pageants:___________________________________________________________
ENTRY FEES
Ultimate Grand Supreme Special: $2oo(on or before 8/1) $250 (8/2 or after) $295 (after 10/1)=_______
Includes: Beauty, Runway, Theme Wear , Photogenic. (You must do all 4 events), Beauty Side Awards, 1 Guest Pass, Plus entry into Ultimate Grand Supreme Title, Grand Supreme, and Mini Supreme Titles
Or you can go Al a Carte: choose individual events (not eligible for Ultimate Grand Supreme) or add more events to the Ultimate Package! Must do beauty and 2 Optional Starz Events to be eligible for Grand and Mini Supremes!
BEAUTY (MANDATORY) : $100.00 =_______
Optional Starz Events
RUNWAY : $40.00 =_______
THEME WEAR: $40..00 =_______
WESTERNWEAR: $40.00 =_______
SWIMWEAR: $40.00 =_______
PHOTOGENIC: $40.00 =_______
PORTFOLIO: $40.00 =_______
COMPOSITE: $40.00 =_______
Extra Photogenic Photos #____x $25.00 =_______
Overall Most Beautiful: $40.00=_______
Beauty Side Awards (Prettiest Hair, Eyes, Smile, Best Dressed and Best Personality)All For $40.00=_______
Talent (ages 5 and up)____$45.00 =______
Please list type of talent ___________________ Name of Song_____________________
Do you need a microphone? Y/N
• Each CD must contain only 1 number and must be labeled with the following information : TITLE OF ENTRY, CONTESTANT NAME , MUST BE TURNED IN AT REGISTRATION
Admission Passes for Weekend (Contestant & 1 Parent FREE)
Extra Passes:_____ x $15.00 = _______
THESE WILL BE $20 At the DOOR!!!!
Early Bird Special! Send in your Ultimate Grand Supreme deposit by 6/1/10 and you get the special $255 all in price! Al a Carte entries received on or before 6/1/10 will be entered in Beauty side Awards Free!!
Sibling Discount! The first sibling (with the highest balance) pays regular price and the second sibling may take 10% off of their total entry fees! Please use separate entry form per contestant.
TToog Total Fees Due:___________
Minimum Deposit $100.00 (Beauty Fee):-___________
Additional Deposit: -____________
Balance Due:__________
(All Balances Must Be Paid By Day of Pageant. Payments Made at Registration Will be CASH or MONEY ORDER ONLY)
Rules & Regulations
-Your age will be determined as of June 27, 2010. Proof of age should be available upon request. There are no marital status requirements.
-This is a fair competition judged by qualified judges. All decisions are final.
-There will be no refunds of sponsorship or ad fees, under any circumstances.
-If you are crowned the winner you must stay for photographs.
-All questions concerning rules, guidelines or any other pageant information should be directed to the national pageant office 1-(732)710-3919. Correct information cannot be obtained from any other source.
-All contestants must give the pageant permission to use their photographs and video footage for publicity purposes in connection with the pageant.
-All paperwork and entry fees are subject to deadlines and due dates. Any contestant who fails to meet the proper deadlines and/or due dates will be ineligible to compete. No refunds will be permitted.
-The pageant staff is not responsible for any accident, injury or loss during the pageant.
-Poor sportsmanship will not be allowed and will be grounds for disqualification without refund.
-The pageant asks that the parents and audience members refrain from the use of tobacco and alcoholic beverages in and around the ballroom area.
-There will be no contracts to sign. We encourage our winners to compete in other competitions.
-No information will be given out concerning who is competing in the pageant or how many contestants are entered prior to competition day.
-Anyone arriving late for competition line up during the pageant or going excessively over the time limits will be subject to a point deduction off their total score.
-The pageant staff reserves the right to use their discretion when selecting and accepting contestants for any 2009/10 pageant. Any contestant who has displayed poor sportsmanship at any past Spotlight Industry Pageant or any other pageant may not be accepted as a contestant.
- Failure to comply with the rules and guidelines will result in immediate disqualification and forfeiting of all prizes, fees, titles, awards, etc. A parent and/or contestant signature on the application and/or on the line below means both the parent and the child understand the rules and guidelines and agree to abide by them.
_____________________________________________________________________________________________________________
Contestants Name/Date Parents Name/Date
Please send this registration form with your $100.00 Beauty Fee, E-mail a Jpeg Photo (This Photo is NOT Judged) & Signed Rules/Regulations. Form SHOULD BE MAILED IMMEDIATELY! Spaces Are Limited!
WE ONLY ACCEPT 10-15 CONTESTANTS PER AGE DIVISION.
Divisions may be split or combined based on registration.
Mail To: Spotlight Industry
P.O. Box 1218
Edison, NJ 08817
Checks Made Payable to: Spotlight Industry
Upon receiving your application you will be e-mailed a confirmation letter that will include further information and ad sales packet.
Mail To: Spotlight Industry
P.O. Box 1218
Edison, NJ 08817
Checks Made Payable to: Spotlight Industry
Upon receiving your application you will be sent a confirmation letter that will include further information and ad sales packet.
