Name:
Age (on pageant day):
Date of Birth:
Address:
City, State, Zip:
Parents:
Phone Number:
Email Address:
Hair Color:
Eye Color:
I plan to compete in these optional competitions:
Prettiest Eyes
 Best Dressed
Prettiest Hair
 Most Beautiful
Prettiest Smile
 TALENT
I plan to sell ads for the pageant program book.  (25% of your
sales may be applied toward your entry fees).
Before being allowed to compete, parent or legal guardian must read and sign a Hold
Harmless Agreement, which reads:
We, the undersigned, as a prospective contestant and as the parent or legal guardian of said prospective
contestant have read and understand all requirements and expectations of the Miss Gardendale Pageant
Program, and give our consent for participation.  We also agree to hold harmless Elite Pageant Productions, the
Pageant Director, pageant staff, the facility, and any other representatives of these groups of any and all
responsibility of personal injury, theft, and/or damage of personal property during the designated time of
appearances, rehearsals, competitions, and during travel to and from these events.  We understand that all
appearance requests must be forwarded to the director, and that at no time may a titleholder use her title,
crown, or sash without prior approval from the director.  We understand that Miss Gardendale 2012 may be
asked to make occasional appearances to promote the City of Gardendale and the Miss Gardendale Pageant
Program.  All photos and video taken of contestants may be used by Elite Pageant Productions and McDuffie
Video Productions (MVP) for future promotional purposes.
Miss Gardendale 2012
Entry Form
Please fill out the form below and click submit.  
You will receive a confirmation when we receive your entry.
If you have any questions, please contact us.

Some of the information you fill in below will be read by the MC during your walk on stage.
Ages 13-up, this info will also be used by the judges to ask questions during interview.
Elite Pageant Productions
P.O. Box 1642
Gardendale, Alabama  35071
Office located in the Field of Dreams building
WE HAVE MOVED! - 243 Fieldstown Road, Gardendale
Phone: (205) 529-2244 or (205) 631-5199
Email: Questions@ElitePageant.com
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