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Payments can be made through paypal to pageantchick27@yahoo.com

 You may also mail the fees to:
 

AR Southern Celebrity Productions (DO NOT ABBREVIATE PLEASE)

 

Autumn Sherburne

 

2401 B Patrick Henry

 

Temple, TX 76504. 


 

Southern Celebrity Preliminary

 

DALLAS * AUGUST 21, 2010 * BACK TO SCHOOL

 

  Supreme Title will win a large crown, custom sash, trophy and $50 off Supreme package at state.

 

Optional Overalls & Side Awards (Optional) will each receive an award on stage, double crowning is allowed.

 

10 Division King/Queen Titles will be awarded and receive a crown, sash and $25 off Supreme package at state. 

 

ALL entrants will receive a prize just for entering PLUS $10 off deposit to 2010 state competition.

 

  Age divisions:

 

GIRLS 0-11, 12-23, 2-3, 4-5, 6-7, 8-9, 10-12, 13 & up

 

*If less than 25 girls, we may combine age groups, if older girls/ladies enter we may also add more divisions

 

BOYS 0-2, 3-5, 6 & up

 

*If less than 5 boys, we may combine age groups

 

(Circle your division)

 

(TENTATIVE) Registration will begin at 10:00 AM – all contestants must attend

 

At this time all photogenic photos and competition CDs must be turned in prior to pageant.

 

(TENTATIVE) Pageant will begin at 12:00 PM

 

*Tentative Schedule will be sent out prior to competition. Please allow room for last minute changes.

 

Name____________________________

 

Age______________________________

 

Address___________________________

 

Parents____________________________

 

Email_________________________

 

Phone Number_________________________ 

  

FOUR PACKAGES TO CHOOSE FROM PLUS TWO COMBINATION CHOICES

 

___ Glitz Required Package $85 (beauty & ooc)

 

___ Natural Required Package $85 (beauty & ooc) 

 

You may add any of the side awards or optional overalls (listed and included in the Supreme packages) at the door on pageant day if you like. 

 

Each side award is $5. Each optional overall is $10.

 

____ Enter Both required packages for $170  

 

 ___ Glitz Supreme Package  $150

 

            Includes: Formal Wear, Outfit of Choice, Entry to Supreme, Best Hair, Prettiest Smile, Prettiest Eyes, Best Dressed, Overall Glitz Photogenic (one photo), Overall Personality, Overall Outfit of Choice, Overall Best Formal Wear, and Overall Most Beautiful/Handsome

 

***Does not include Talent.

 

 ___ Natural Supreme Package  $150 

 

            Includes: Formal Wear, Outfit of Choice, Entry to Supreme, Best Hair, Prettiest Smile, Prettiest Eyes, Best Dressed, Overall Natural Photogenic (one photo), Overall Personality, Overall Outfit of Choice, Overall Best Formal Wear, and Overall Most Beautiful/Handsome

 

***Does not include Talent.

 

____ ENTER BOTH GLITZ AND NATURAL SUPREME PACKAGES FOR ONLY $225 (Saves $75!!)

 

 ____ Additional photos at $5 each. 

 ____ Unlimited Photos in both Natural and Glitz ($30)
___ Talent ($15)
 Door Admission:
 ___$4 for ages 13 & up
 ___$2 for ages 4-12
 3 & under FREE
1 FREE adult door badge for each contestant included for chaperone!
___Camera $5 (free pass with purchase of photo CD of pageant)
 

___Video Camera Pass $5

___PICTURE CD (will include the whole pageant on one disc and right to copy and edit done by our photographer) $30
 *you may pay for this at the door or in advance SEPARATELY from your other pageant fees
 ___1/2 off (package) for sibling entry (Include a separate application for each child)
 ______Total Entry Fees
______ -Deposit ($25)
______Balance (to be paid at check in)
 You may either mail or email me this form.
 

If you have any questions feel free to contact me by email me at pageantchick27@yahoo.com or by phone (254) 598-8789 (Autumn Sherburne)

 

 ALL CHECKS/MONEY ORDERS must be made out to AR Southern Celebrity Productions. Do not abbreviate!!

 

CASH only accepted day of pageant.

 

There are absolutely NO refunds unless pageant is cancelled by director and not rescheduled.
 

 Please sign and send to me: 
 

I, or my family, do not hold anyone associated with Celebrity Pageants responsible for injuries or

 

damages. I further agree that I understand all rules & regulations of the pageant and I will abide by

 

them. I understand if I do NOT abide by the rules I will be asked to leave with out a refund. Judges

 

decisions are final.

 Name____________________________________
 

Date_____________________________________

 

 

 

 

 

 

 

 

 

 
 
 

ROLL’N UP THE SUMMER FUN!

Southern Celebrity Preliminary

 

Saturday, September 18, 2010

 

Houston, TX

 

Supreme Title will win a large crown, custom sash, trophy and $50 off Supreme package at state.

 Optional Overalls & Side Awards (Optional) will each receive an award on stage, double crowning is allowed.
 11 Division King/Queen Titles will be awarded and receive a crown, sash and $25 off Supreme package at state.
ALL entrants will receive a prize just for entering PLUS $10 off deposit to 2010 state competition.
 

 

 

Age divisions:

 

GIRLS 0-11, 12-23, 2-3, 4-5, 6-7, 8-9, 10-12, 13 & up

 

*If less than 25 girls, we may combine age groups

 

BOYS 0-2, 3-5, 6 & up

 

*If less than 5 boys, we may combine age groups

 

(Circle your division)

 

 

 

Registration and rules:

 

 

 

(TENTATIVE) Registration will begin at 10:00 AM – all contestants must attend

 

At this time all photogenic photos and competition CDs must be turned in prior to pageant.

 

(TENTATIVE) Pageant will begin at 12:00 PM

 

 

 

*Tentative Schedule will be sent out prior to competition. Please allow room for last minute changes.

 

 

 

 

 

Name____________________________

 

Age______________________________

 

Address___________________________

 

Parents____________________________

 

Email_________________________

 

Phone Number_________________________

 

 

 

 

 

 

 

___EARLY BIRD subtract $10

 

___Late Entry Fee add $5 (for those entering day of pageant without pre-registry)

 __Required Entry Fee  $85
 Includes: Formal Wear, Outfit of Choice, and entry to Supreme title
Please mark an x to indicate which optionals you wish to participate.
Optionals:
___Best Hair  $5
___Prettiest Smile  $5
___Prettiest Eyes  $5
 __Best Dressed  $5
___Enter all Optionals for $15 (saves $5)
 Optional Overalls:
 

___Glitz Photogenic  $10--one photo

 

__@__Additional photos at $5 each

 

___Natural Photogenic  $10--one photo

 

__@__Additional photos at $5 each

 

___Personality  $10

 

___Best Outfit of Choice  $10        

 

___Best Formal Wear  $10

 

___Most Beautiful/Handsome  $10

 

___Enter all Overall Optionals for $50 (saves $10, only one photo for glitz and one photo for natural included in this package, you may still add more for $5 each)

 ___Talent ($15)
 ___Supreme Package  $150
 

            Includes: Formal Wear, Outfit of Choice, Entry to Supreme, Best Hair, Prettiest Smile, Prettiest Eyes,

 

Best Dressed, Overall Glitz Photogenic (one photo), Overall Natural Photogenic (one photo), Overall Personality, Overall Outfit of Choice, Overall Best Formal Wear, and Overall Most Beautiful/Handsome

 

***Does not include Talent.  

Door Admission:

 

___$4 for ages 13 & up

 

___$2 for ages 4-12

 

3 & under FREE

 1 FREE adult door badge for each contestant included for chaperone!
___Camera $5 (free pass with purchase of photo CD of pageant)
___Video Camera Pass $5
 __PICTURE CD (will include the whole pageant on one disc and right to copy and edit done by our photographer) $30
*you may pay for this at the door or in advance SEPARATELY from your other pageant fees
___1/2 off required package for sibling entry (Include a separate application for each child)
 ______Total Entry Fees
______Deposit ($25)
______ late fee or early discount
_____Balance (to be paid at check in)
You may either mail or email me this form.
 

If you have any questions feel free to contact me by email me at pageantchick27@yahoo.com or by phone (254) 598-8789 (Autumn Sherburne)

ALL CHECKS/MONEY ORDERS must be made out to AR Southern Celebrity Productions. Do not abbreviate!!
CASH only accepted day of pageant.
There are absolutely NO refunds unless pageant is cancelled by director and not rescheduled.