Saturday February 23, 2013
Westside Elementary School
ALL PROCEEDS GO INTO
"HOPE FOR HEARTS" FOUNDATION
Hope for Hearts Foundation is dedicated to improving the lives of children and families who are enduring an illness with heart defects resulting in an extended hospital stay by providing financial and emotional assistance through this annual fundraiser. The money raised is used to purchase toys, clothes, and books for the children. In addition to these items, food, gas, clothing, and accommodations for the families are provided. We provide for the needs of individual familes dealing with crisis involving Health Problems with their children. We believe parents should not have to worry about their next meal while attending to their sick child. This is when Hope For Hearts Steps in. We know first hand how difficult it is having a child with a life threatening condition. Therefore, the fund is named and held in honor of our Little Man, Dylan Chandler Stafford. Dylan is a amazing survivor of congenital heart disease and a walking testimony to the Awesome Power of God. He was born with several hearts defects which had to be repaired through a series of open heart surgeries. Dylan is 10 years old now and doing very well living with his heart condition.
Find us on Face Book http://www.facebook.com/events/150336655115786/
Registration begins @ 10:30 A.M. - Pageant will begin promptly at 11:00 A.M.
10:45 A.M. Opening Comments, Judges Introductions.
Please arrive to check in at least 30 minutes prior to your divisions time.
Estimated Schedule-this will be followed as closely as possible
Awards will be handed out immediately following each division.
Winners Photos will be made immediately following each division.
0-11 mth. Girls 11:00 A.M.
0-2 yr. Boys 11:15 A.M.
12-23 mth Girls 11:30 A.M.
2-3 Girls 11:45 P.M.
0-3 Yr. Supreme
4-6 Girls 12:30 P.M.
7-9 Girls 12:45 P.M.
4-9 Year Supreme
10-12 Girls 1:00 P.M.
13-15 Girls 1:15 P.M.
16-21 Girls 1:30 P.M.
Mrs. 1:45 P.M.
10-up Year Supreme
Attire : FORMAL WEAR or SUNDAY BEST
(please no casual attire, girls should wear a dress, not "Valentine's Wear" this is a formal event, a dress is required, it does not have to be a fancy dress, both styles have won in the past)
NO ATTIRE SCORES
Judges are instructed to choose a Beautiful Face, Dressed Neatly, and Age Approiate
with a Great Personality!
Our qualified judges are chosen from several counties away.
We do not use local judges.
General Door Admission
$5.00 Per Person
Girls 0-21 Years &
Baby Boys 0-2 yr.
All States & Counties Are
We will award a Sweetheart Queen/King 1st, 2nd alternates in each age division. Each Sweetheart Queen/King winner will receive a Beautiful Rhinestone Heart Crown or Kings Crown, Custom Valentine’s Day Banner, & Nice Valentine Trophy! Alternates will each receive a nice Award.
Most Beautiful, Prettiest Eyes, Prettiest Hair, Prettiest Smile, & Best Dressed! Each winner will receive a Beautiful Valentine Award!
We will be offering 3 Supreme Titles at registration for this pageant for an additional fee of $20 for those interested...Supreme can be double crowned at this one BUT just because you win Queen of a Division does not necessarily mean you'll get Supreme too. All are on equal ground when this competition begins. All Contestants who enter the Supreme will come back on stage & be judged again for Supreme in a group line up setting so stay dressed!
Winners will receive a Beautiful Custom Plaque or trophy, Beautiful Huge Crown, & Custom Valentine‘s Day Banner
Dressing Room Will Be Provided
Photographer will be on Site for Photos
Winners photos Will be in local Newspapers & on the website
Be Sure To Have Your Photo Made!
Contestant Numbers Will Be Assigned in Order that they are Received
This event is non-profit and is not affliated with any other pageants
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Circle your Age Division
Boys (0-2 Yr.As long as your son has not already turned 3 he will be allowed to compete in this age division)
Compete as age day of pageant
MC CARD / PLEASE PRINT NEATLY
Age Division: _______________ CONTESTANT #_________
AGE____________ BIRTH DATE________Phone#_______________________
COLOR HAIR______________________ COLOR EYES________________
FAVORITE COLOR____________Favorite Person_____________________
THANK YOU CONTESTANT #__________
Please check all categories you will be entering:
Most Beautiful $5______ Prettiest Eyes $5_____ Prettiest Hair $5______
Prettiest Smile $5______ Best Dressed $5______
or enter everything for $40_______
Supreme (extra) $20 _______
Total:_______ Deposit paid:_______ (at least $20) Amount I will owe at Door:_______
Official use only: Amount received:_________Date:_________Initial________
Absolutely No Checks will be accepted at the door CASH ONLY NO EXCEPTIONS WILL BE MADE
DEADLINE TO PRE-REGISTER BY MAIL IS February 10, 2013
WE DO ACCEPT DOOR ENTRIES ON PAGEANT DAY WITH A $5 LATE FEE
TEXT 615-388-9676 or EMAIL firstname.lastname@example.org
send all pay pal to email@example.com
This event is non-profit and is registered with the State of Tennessee under the beauty pageants. Certificate will be on display at the event. All Contestants must pre-register by deadline with at least $20.00 deposit paid. All late entries will be charge a $5.00 late fee. You may pay any remaining fees owed the day of the pageant. We will only accept CASH the day of the pageant - No exceptions. Contestants must check in at registration table at least 30 minutes prior to their division. All remaining fees must be paid in full at this time. A $25.00 Fee will apply to all returned checks. We will not accept checks on pageant day-please do not ask. To enter, you cannot be pregnant nor ever have been married or have a child. Judges will be qualified - The judge’s decisions are final! No Exceptions! Line-ups are based on the order in which applications are received, Please let us know if your child prefers a certain # and we will do our best to get it for her. I certify that all information contained on this application is true and correct. The Owners, Directors, of staff of the pageant will in no way be held responsible for accidents or injuries incurred before, during, or after the pageant. I understand that the judges’ decisions are final and by making payment and turning in my entry form constitutes acceptance of those decisions. Un-sportsmanlike conduct of friends or family will result in disqualification of contestant without a refund. If the pageant is rescheduled all fees will be credited to the new date & time; however, if contestant pulls out for any reason, fees will NOT be refunded and you will not be able to roll your deposit over to another event. Director has sole discretion as to the acceptance of late entries and termination or continuance of event. Should the pageant be canceled entirely you will receive a full refund. Any Contestant upon submitting deposit payment via pay pal, US Mail, check, Money Order, or otherwise, does hereby constitute Agreement and Understanding of all Terms and Conditions of the Rules and Regulations of the pageant system, including but not limited to, non-refundable deposits, allowance of publicity publications, non-liability and all other terms and conditions.
Your Application will not be considered received until payment has been made.
To Enter The Pageant
2 Ways you can enter:
Mail your entry form & payment to
6236 Rocky Mound Road
Westmoreland, Tn. 37186
copy & paste the above entry form into an e-mail, fill in your child's information, send
to Miss Dana with payment via Pal Pal to firstname.lastname@example.org
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QUESTIONS? CALL 615-388-9676 OR E-MAIL email@example.com
We Look Foward to Meeting You Soon!!!
If You Are Interested in Being A Volunteer At This Years Event Please Call Dana