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Hollywood/Southland Scholarship Competition PRELIMINARY ENTRY FORM
The 2011 competition will be Saturday and Sunday, February 5 and 6, 2011. We will send complete entry materials to everyone who has submitted this completed form. By submitting this entry form, you are indicating that you have read and understand the IMPORTANT NOTICE below.
Entrant's Name
Date of Birth (month/date/year, e.g., 02/28/89) / /
Street Address
City, State
Zip Code
Daytime Phone Cell Phone (if different)
E-mail Address
Talent Description: In the space below, please describe the talent that you will perform in the talent competition.
Have you competed previously in a Miss America preliminary pageant? Yes No
Have you competed in a pageant not affiliated with Miss America? Yes No
Are you a citizen of the United States? Yes No
How did you hear about us?
IMPORTANT NOTICE A contestant's performance in the talent competition in limited to 90 SECONDS (1 -1/2 MINUTES). For the swimsuit competition, footwear IS required.
Final date for acceptance of on-line Preliminary Entry Forms for the 2011 competition is December 31, 2010. Even if you are entering another pageant, and may not be able to compete in Hollywood/Southland, you should submit a Preliminary Entry Form and other required paperwork by our deadlines to reserve your space in our pageant. Final entry deadline is January 14, 2011. No late entries accepted.