Wayne County 4-H Little Miss & Jr. Miss Entry Form

Name:_________________________________

Age:_________      D.O.B. _____________     County:_______________

Hair:_________________  Eyes:_____________

Favorite Food: ________________________

Favorite TV Show:_________________________

Hobbies/Favorite Things to do: ____________________________________

 

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What do you want to be when you grow up?

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Parents/Guardian

Names:________________________________

Address:_________________________________ Phone:_________________

City:_________________    State:_________    Zip:_________________

The Wayne County 4-H and all its employees, agents, Fair Board cannot be held responsible for accidents, injury or loss of personal property relating to this event. Judges decisions are final. I have read contest terms, rules, conditions, and the entry form. I agree to abide by them. Failure to do so may result in disqualification.

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Little Miss & Jr. Miss Parent or Guardian Signature                                     Date