Age Divisions: Baby Miss: 0-11 months Toddler Miss : 12-23 mo. Wee Miss: 2-3 Years Tiny Miss: 4-5 Years Little Miss: 6-7 Years Junior Miss: 8-10 years

Contestant Name________________________________________________ Age______________ Birthday_______ Address__________________________________________________ City________________ Zip_______________ Phone______________________________________ Email ______________________________________________ Eyes__________________________________ Hair_____________________ Favorite Book____________________ Hobbies:_______________________________________________________________________________________ Favorite Food:________________________________ Favorite Movie______________________________________ Favorite Summer Activity :________________________________________________________________________ School_________________________________________ Grade___________________________________________ If a movie was named after you what would it be called:__________________________________________________ Parents_________________________________________________________________________________________ Signature:___________________________________ Date_______ Referred By:_____________________________ In signing this entry form I understand that AmeriFest LLC, Miss Richmond , or Madison Southern are NOT responsible for damages, accidents, or other instances traveling to , during, or after the event. I agree I have permission to sign the contestant up as a parent or legal guardian of under 18 years contestant. I agree to have good sportsmanship and act in a manor that does not disrupt the event or its integrity. I certify the age listed above is correct as of the age on pageant day of June 23, 2018. Score sheets will be given back after the pageant and all tabulation will be conducted on computer. All winners are encouraged to participate in local community service events with their title. All winners will advance to the Kentucky Festivals State Finals in 2018. If you decide not to represent your title at state, the bid will be offered to the next contestant in line with the next highest score. I agree to let AmeriFest LLC, Kentucky Festivals , or Pine Mountain Photography to use any photos captured of me or my child at the pageant on social media for Kentucky Festival Pageants , including Facebook, Instagram, and Twitter as well as www.KentuckyPageants.com , www.AmeriFestPageants.com, or www.Pinemountainphotoraphy.com Any division with 2 or less contestants may be combined. There are NO refunds. Poor sportsmanship will result in disqualification of titles and / or any prize or competing within Kentucky Festivals / AmeriFest in the future. NO REFUNDS ARE GIVEN and NO FEES are forwarded to another event in the event you are unable to attend.

Pre-Teen: 11-12 Years Teen: 13-15 Years Miss : 16-21 Years Ms 22 + Years Mrs: 22—35 married /Woman 36+ Modern Miss: Size 14 + ages 18-29 Modern Woman Size 14+ : 30 +

Basic information for pageant day! • Pageant location is Berea Community School—Berea, KY 1 Pirate Parkway (off exit 77 I-75) • Registration is 1:45—2:45 pm and starts at 3:00 pm. • Pageant postmark deadline for entry is June 16 or online entry kentuckypageants.com • If you have any questions please text 859-625-8490 or kyfestivals@hotmail.com • All decisions are final and poor sportsmanship will not be tolerated & result in disqualification • Checks or money order should be made payable to : AmeriFest Pageants—No checks after 6/16/18 • You may pay deposit online via credit card or paypal (kyfestivals@hotmail.com) • You need to also mail a photo for the program book by 6/16/18 or email it to kyfestivals@hotmail.com • Deadline for ads for the program is 6/16/18 postmark • Please bring photogenic pictures to the pageant with contestants name and age • Every contestant will receive a gift & crown Winners will receive trophy or plaque, crown, & sash PLUS gift bag and qualify for

state finals. • All royalty placement, charity supreme,& most referrals will advance to the 2018 Kentucky Festivals State Pageant • The contestant bringing most Bibles for donation will win the Charity Supreme title. • Open to any Kentucky Resident—No refunds given. • Person with most referrals will win a special title Kentucky Hospitality and qualify for state

Please select categories entering below ____________ Beauty $75 (mandatory) Formal or Semi Formal Gown / Suit ____________ Optional Awards Package $25 Includes Photogenic, Best Hair, Personality, & Best dressed

____________ “Optional Outfit of Choice ” $25 Anything red, white, blue, or combo—off the rack or custom—anything goes , winner per age group

____________ Cover Model & Centerfold $20 (qualifies for state) Send one pic for each by 6/17/17 by mail , One headshot One full body shot No larger than 8x10, no frames, must be labeled with name & age

_______________ Supreme Titles $25 Includes Grand, Mini, & Novice Overall Supreme Titles

_______________ Mom & Me $15 (competes on stage at the end of the pageant with daughter—Just have fun with it ! )

____________ Door Admission $5 each {same price @ door} 9 & under free

___________ Charity Supreme $FREE$ Person bringing the most donated Bibles (must be new)

___________ Kentucky Hospitality * FREE * Person with most referrals of other contestants ___________ Kentucky Scholar * FREE* 1 page essay about achievements due by 6/16—not accepted at pageant.

Deposit Paid $___________(minimum $50) Balance @ Door: $___________ Invoice Me For Deposit ______ / Amount for invoice $________ Email________________________________________ Method of payment: __________ Cash __________ Check _____________ Credit Card / Paypal (kyfestivals@hotmail.com) Mail Entries, Deposit, & Program Pic By: June 16th : AmeriFest Pageants PO Box 1174 Richmond, Ky 40476 kyfestivals@hotmail.com 859/625/8490

• It’s easy! Sell good luck pages for the program book to family, friends, or business– You can include pics or logos.

• See next page for receipt & prices ! • Simply send in receipt, payment, and ready to

scan ad– by your deadline! Plus win great prizes !

• No Out Of Pocket Expenses !! • You can combine ads & raffle chances if you

like. Example: Sell 100 raffle chances and 1 ad page = 2 Ad Page Prizes (see below)

• Sell chances on a $50 Walmart card given away at each pageant.

• Tickets are $1 each and ALL money goes towards your fees! $1 for $1 ! • Example: Sell 200 chances get $200 pageant

cash or the awards for 2 ad pages (see below). • Use our sample tickets or make up your own.

Print endless sheets online • Peoples Choice—Sell the most raffle chances

for the Peoples Choice Award & qualify for

Sell 2 ad pages: All Categories Free ! Sell 3 ad pages: All Categories FREE, Crown, & Program Book Sell 4 ad pages: All Above + $50 Gas Card Sell 5 ad pages: All Above + Tote bag & silver jewelry Sell 6 ad pages: All Above + $50 Pageant Cash towards state & Bling Stuffed Animal Sell 7 ad pages: All Above + additional $50 (total $100) pageant cash & Crown Pin Sell 8 ad pages: All Above + gold jewelry

Sell 10 Ad Pages: Pageant Ambassador !! Plus automatically qualify for state !!!!

You will win the following prizes (does not include above prizes) Get all categories FREE plus—Beautiful silver ambassador tray, gorgeous round crown, $200 State

pageant cash, crown pin, monogrammed sash, photo on the program back cover

PLUS YOUR CHOICE OF ONE OF THE FOLLOWING (must notify us which gift)

Digital Camera, New Bicycle, American Girl Doll, Diamond Accent Necklace, Family Game Basket

Sell the most Wal Mart raffle chances— “Peoples Choice Award” Crown, Sash, Gift, & Qualify for state (minimum of 300 chances)

Ambassador Supreme: The person selling 15 pages = Qualify for state finals, huge supreme crown, monogrammed

title sash, 5 foot trophy , crown pin, pageant T-shirt, photo on cover of program! Plus choose from………

Battery powered ride on toy OR Michael Kors Purse

Be a “Pioneer” for positive pageantry! The contestant with the most referred contestants to the pageant will win this supreme title, FREE entry, and qualify for state! Your name must appear on the Referred By line of the entry form, must have at least 4 referrals to be considered. Receive $15 off for each referral less than 4. Supreme sash, crown, and gift awarded to winner.

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Cash _______ Check #__________ Money Order____________ Credit Card _________ ( adds 4%) Paypal_________ (adds 4%)

For Credit Card Use Name on card________________________________________Amount $_____________ Phone # of card holder: _____________________________________________________ Email of card holder ( invoice will be sent here for you to securely pay the above amount ) ___________________________________________@_____________. _____________

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

All ads will be placed in the program book you purchased the ad for available on pageant day only. The ads are printed in black and white but may be submitted in color. Ads are not returned and become the property of KFPA. What you send is what will be printed. We reserve the right to deny any advertising. Emailed

ads will not be accepted without prior arrangements.