entry form - The Ultimate Pageant

ENTRY FORM
ENTRY FEES
(Please mark an x)
Age Division _____ DOB ______
Childs Name _______________
___ $100 SUPREME PACKAGE
Includes: Beauty
Hair Color _____ Eye Color ___
Outfit Of Choice
Hobbies __________________
Best Awards
Parents Name ______________
Phone ___________________
Natural Photogenic
___ $25 Swim Wear
THE ULTIMATE
PAGEANT
MO, IL, KY
TRI STATE FINALS
MAY 10TH 2014
___ $25 Casual Wear
Email ____________________ ___ $25 Denim Wear
Address __________________
City _____________________
State _________ Zip ________
I agree not to hold the event staff of The
Ultimate Pageant, directors or any
members of the facility responsible for
accidents, damages or loss of property
that may occur during the event. I understand that judges decisions are final and
that all rules listed in the paperwork must
be followed at all times. Failure to do so
will result in disqualification. I certify
that with my signature all information
provided is true and that I will not receive
a refund for any reason. I give permission
for photos of my child to be used for any
advertising purpose.
___ $50 Mega Face Supreme
___ $25 Ultimate, Grand & Mini Supreme
___ $10 Per Extra Photo
___ $20 Tshirt **MANDATORY**
___ $10 MOM ONLY Badge
___ $15 Door Badge
(Ages 12 and over)
___ FREE (Ages 3-11)
$_______ Total Amount Owed
$ _______ Discount
Carbondale, IL
Director: Dailyn Darr
618-218-0985
[email protected]
**PAY IN FULL BY MARCH
21ST ,ENTER ABOVE FOR $175**
$_______ Deposit
($75.00 due ______)
Parents Signature ________________
Date __________________________
SIU Student Center
$ ______ Balance Owed
Credit Cards and Paypal both
accepted.
Paypal payments to:
[email protected]
SEND ENTRY FORMS/DEPOSIT TO:
Dailyn Darr
Email [email protected] Paypal [email protected]
Phone 618-218-0985
WIN FEES OFF NATIONALS
JULY 18-20 NASHVILLE, TN
**AWARDING OVER $35,000
CASH GUARANTEED*
EVERYONE GETS A
CROWN AT NATIONALS!!!!
THE ULTIMATE EVENTS
Beauty
Makeup, flippers, falls, wiglets and eyelashes are allowed for this event!! However we do ask that you keep
“soft glitz”. Hair should not be overdone. Attire can be
any dress of your choosing. Stoned dresses, long
dresses, cupcake dresses are all acceptable.
No modeling or attire score!
Casual Wear
Any type of outfit is acceptable! Outfit can be custom
made or off the rack! No modeling or attire score!
Swim Wear
Any type of swim wear acceptable! Outfit can be
custom made or off the rack! No modeling or attire
score!
Outfit Of Choice (OOC)
Any outfit of your choosing! This event can have
custom music and props! No modeling or attire score!
Denim Wear
Any type of outfit is acceptable! Outfit can be custom
made or off the rack! No modeling or attire score!
By Attending The TRI STATE pageant you have won fees off National Finals which will be held July 18-20th 2014 in Nashville,
TN. At Nationals we will not only be awarding wonderful
crowns, trophies, sashes and great prizes and...Over $38,000 in
CASH!!! Held at The Sheraton Music City Opryland Hotel this is
an amazing opportunity for you and your child to take the next
step in your pageant career!! We will have a professional event
photographer, a stage that will look absolutely amazing and a
fun filled party for all contestants and their families on Saturday
night!!!
Even at nationals, every contestant will receive a crown. Modeling
and attire are NOT scored we only score on facial beauty and
personality so you are more then ready to advance on!!! We have
also leveled the pageant meaning even if you are new to pageants you will only be competing against children who are on the
same level as you!! No need to feel intimidated….everyone is on
an equal playing field!!
A copy of National Paperwork will be handed out to you at
the pageant during crowning! If you are interested in hearing
more about Nationals please call me at 870-740-2759 or
email [email protected] and I will help you prepare for Nationals any way that I can!!
Be sure to visit us on facebook:
www.facebook.com/theultimatepageants
or on our website at www.theultimatepageants.com for
more exciting updates and to be added to our mailing list!!!
I hope to see all of you again at
THE ULTIMATE PAGEANT NATIONAL
Your National Director,
Dena Jackson
Prizes and Awards
MEGA FACE
$500 CASH, $295 SUPREME PACKAGE PAID TO NATIONALS, 14” CROWN AND SASH
ULTIMATE HIGHPOINT
$250 CASH, $295 SUPREME PACKAGE PAID TO NATIONALS, 14” CROWN AND SASH
3 GRAND SUPREMES (0-3, 4-8,9+up)
$150 CASH, $250 PAGEANT CASH TOWARDS
NATIONALS, 14” CROWN
AND SASH
3 MINI SUPREMES (0-3, 4-8,9+up)
$100 CASH,$150 PAGEANT CASH TOWARDS NATIONALS, 10” CROWN
AND SASH
OVERALL TITLES:
Most Beautiful, Most Photogenic, Best OOC, Best Swimwear
$30 each or all 4 for $80
$75 PAGEANT CASH TOWARDS NATIONALS, CROWN AND SASH
11 BEAUTY SUPREMES
$50 PAGEANT CASH TOWARDS
NATIONALS, CROWN AND SASH
11 DIVISION SUPREMES
$50 PAGEANT CASH TOWARDS NATIONALS, CROWN AND SASH
11 SUPREME QUEENS
$50 PAGEANT CASH TOWARDS NATIONALS, CROWN AND SASH
11 QUEENS
$50 PAGEANT CASH TOWARDS NATIONALS, CROWN AND SASH
11 PRINCESS
$50 PAGEANT CASH TOWARDS NATIONALS, CROWN AND SASH
OPTIONAL AWARDS
BEST AWARDS
Best Eyes, Smile, Hair Personality in each age division. Judged during group lineup
MOST BEAUTIFUL
We will award a winner in each age division. Judged on Facial Beauty only.
NATURAL,COLOR,OR BLACK AND WHITE PHOTOGENIC
may be any size up to 8.5x11. One winner per division. No retouch. Age appropriate
makeup is allowed!
GLITZ COLOR, OR BLACK AND WHITE PHOTOGENIC, COMP, STAGESHOT, COLOR PRINT
Photos may be any size up to 8.5x11. One winner per division.
Casual Wear/Swim Wear/Ooc/Denim/Beauty We will award a winner in each age division
**ALL TITLES INCLUDING OVERALL, JACKPOT AND SUPREME ARE BASED SOLELY ON
FACIAL BEAUTY AND PERSONALITY. THERE WILL BE NO ATTIRE SCORE FOR ANY TITLE!
Ultimate Highpoint, Grand Supreme, and Mini Supreme are all pulled from Beauty plus
your ONE highest optional score (Optional scores are denimwear swimwear, casual
wear, and outfit of choice)
THE ULTIMATE
PAGEANT
TRI STATE FINALS
SUPREME BREAKDOWNS
0-3yr, 4-8yr, 9yrup
AGE DIVISIONS:
Girls: 0-11mo, 12-23mo, 2yr, 3yr, 4yr, 5-6yr,
7-8yr, 9-10yr, 11-12yr, 13-15yr, 16up
RULES/GUIDELINES
-Deadline to send in deposits is April 10 2014
-No attire or modeling score at this pageant. We judge solely
on facial beauty and personality ONLY!
-Fallback date is January 1st 2014
-Deposits are non-refundable and non transferable.
-Everyone other then the contestant must wear a door badge
at all times
-Deposits are accepted via paypal, credit cards, money order
or check.