Official Little Miss Alabama Entry Form Deadline to Enter: June 12, 2012                                        Please fill out all fields! First Name: Last Name: Address Street 1: Address Street 2: City: Zip Code: (5 digits) State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Daytime Phone: Evening Phone: Email: Age: Date of Birth: Hobbies / Interest: Eye Color: Hair Color: Favorite Food: Favorite TV Show: Favorite Cartoon: Favortie Book: Favorite Color: What do you want to be when you gratuate What do you want to be when you grow up: Parents Name: T-SHIRT SIZE YXS, YS, YM, YL, YXL, / AS, AM, AL, AXL ( 2-4 is the smallest shirt that we can order ): Sponsored By: I agree to abide by the rules and regulations by signing this entry form. I fully understand that the Director, Nor staff, Neither facility where pageant will be held shall be liable for property damage, loss of property, or personal injury any time during or subsequent to the pageant. Any fees paid are non- refundable. I also agree that any videos or photos taken during the pageant may be used for advertising purposes. Signature: How did you hear about our Pageant: Comments: Enter comments here!

(There has been a service charge added to the cost of the pageant fees if you are using paypal)

Please select one:

Entry Fee & Ad Page $305.00 Entry Fee $200.00 Ad Page $105.00

If you are sending payment by mail make checks payable to 
Statewide Pageants

We will not take checks at the door CASH only!
Refunds are not permitted, unless our pageants are canceled or rescheduled!
Office: 256-513-0554
or email us @ info@littlemissalabama.com

Stacy Whitt- Director/Owner
Statewide Pageant Productions ™ ®
Little Miss Alabama

                                                        517 Wade Rd                                                      

 Hampton Cove, Al 35763

Trademarked & Registered