Registration Form

Transcription

Registration Form
Photo: Paula
Preston
Photo: Clay Span
Photo: Paula Preston
n
adriennesmith
MRS. ARKANSAS INTERNATIONAL 2015
Photo: Paula
Preston
Showcasing the
Accomplishments
of Today’s Married
Women
™
Photo: Paula Pres
ton
Come Experience the Difference!
Produced by
Crown Image Productions
www.arkansaspageants.com
Photo: Clay Spann
Photo: Paula
Preston
Executive Director: Mrs. Bernée Thurow
P.O. Box 94603 • North Little Rock, AR 72190
[email protected] • 501-690-2158 • Fax 501-758-6448
mrsarkansasinternationalcompetition2016
Photo: Paula Preston
Official Rules and Regulations
The Mrs. Arkansas International Competition is an event designed
to give a positive environment for married women of today. We
encourage you to be involved with your communities as well
as showcasing your accomplishments. There is absolutely no
previous pageant experience required. All delegates become
exclusive ambassadors for their communities, and are awarded
the official crown and sash. We will accept the first
25 delegates that qualify to enter the
pageant.
TO APPLY: 1. You should read the information in this brochure
carefully before you submit your form and
$200.00 processing fee made payable
to Crown Image Productions. 2. Please
complete the entry form and return it with
a copy of your birth certificate, marriage
license and drivers license. 3. Please send
a recent photo. A complete packet of
information will be sent to you after we
receive your form and processing fee.
The new Mrs. Arkansas International will
receive cash, a wonderful prize package, and
the opportunity to represent her state at the
Mrs. International Competition.
TO QUALIFY A CONTESTANT MUST
MEET THE FOLLOWING REQUIREMENTS:
1. You must be married and residing with your
spouse a minimum of 6 months by July 1 of
competition year. 2. At least 21 years of age
and no older than 56 years of age as of July 1 of competition
year. 3. A U.S. citizen and a resident or student of Arkansas
for at least 6 months. 4. You must be a born female married to
a born male. 5. You must never have, or will not during your
reign, pose for any photography, video, or film associated with
nudity or pornography. Nor have you ever, or are you presently
involved with prostitution or any form of employment which
involves partial or complete nudity. 6. You must not have been
convicted of a felony crime. 7. Each contestant will be subject
to a registration or sponsor fee. 8. You agree that the judges
decision is final. 9. Any contestant or family member or guest
of a contestant showing less than sportsman like behavior will
lead to the disqualification of the contestant. 10. If selected you
agree to attend the national competition and abide by all the
rules and regulations required by the same or forfeit the title.
11. If contestant relinquishes, for any reason, her title, all prizes
must be returned in full, and in the condition received. 12. This
is in conjunction with the contract you will receive from Crown
Image Productions, Inc. 13. You will permit Mrs. International
and their licensees the right to use your photograph for publicity
purposes in connection with all Mrs. International competitions.
14. You will permit Mrs. International and their licensees to
televise live or by use of film or videotape any portion or all
of the competition. 15. You understand that Mrs. International
reserves the right to change the dates and location of the
National Competition. 16. You understand that if selected a
winner of your competition, that for one year your professional
affairs as said winner will be under the sole management of
Mrs. International and/or their licensees and that you will not
give any written or oral endorsements commercially without the
expressed permission of said same. You further acknowledge
that all rights for any appearances, endorsements, speaking
engagements, acting roles, etc. resulting from winning or being
a contestant in any regional, state or international competition
affiliated with Mrs. International shall belong exclusively to same.
17. By signing this application you understand all the information
listed above and agree to all the rules and regulations.
Entry Form
Pageant Date: April 22-24
Maumelle High School
SPONSORSHIP FEE: The sponsorship
fee made payable to Crown Image
Productions of $450.00 is due with your
application. Please contact the pageant
office if you have any questions. A
payment schedule may be set. This fee goes toward
producing the show, to cover the workshop, and coaching for the
delegates, the official crown and sash, and your meals and activities
during the State Pageant. This fee may come from a business,
civic club or organization, your family or friends. All fees paid are
nonrefundable.
AREAS OF COMPETITION:
• PERSONAL INTERVIEW – 50%
• ON STAGE PRESENTATIONS
• AEROBIC WEAR – 25% (No Swimsuit)
• EVENING GOWN – 25%
Photo by Nelson Chenault

I would like to enter the Mrs. Arkansas
International Pageant, the official preliminary to
Mrs. International
Name
AgeBirthdate
Address
CityState
Zip
Home Phone (
)
E-Mail
Employer, if any
Occupation
Work Address
Work Phone (
Photo: Clay Spann
)
HeightWeight
Eye Color
Hair Color
Spouse’s Name
Dress Size
Phone (
)
Occupation: Spouse
Wk. Phone: Spouse
ChildrenGrandchildren
How did you hear about the pageant?
Photo: Nelson Chenault
Sign and return this portion of the Entry Form
Photo: Nelso
n Chenault
Contestant SignatureDate