Contestant Name Age Birthday. Address City Zip. Phone . Eyes Hair Favorite Book. Hobbies: Favorite Food: Favorite Movie

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2 Age Divisions: Boys: 0-2 yr, 3-6yr, 7-11 yr Baby Miss: 0-11 months Toddler Miss : mo. Wee Miss: 2-3 Years Tiny Miss: 4-5 Years Little Miss: 6-7 Years Junior Miss: 8-10 years Pre-Teen: Years Teen: Years Miss : Years Ms22 + Years Mrs: 22 + married Modern Miss: Size 14 + ages 18+ Contestant Name Age Birthday Address City Zip Phone Eyes Hair Favorite Book Hobbies: Favorite Food: Favorite Movie Favorite Thing About Kentucky : School Grade If a movie was named after you what would it be called: Parents Signature: Date Referred By: In signing this entry form I understand that AmeriFest LLC, Kentucky Sweetheart, or Best Western is NOT responsible for damages, accidents, or other instances traveling to, during, or after the event. I agree I have permission to sign the contestant up as a parent or legal guardian of under 18 years contestant. I agree to have good sportsmanship and act in a manor that does not disrupt the event or its integrity. I certify the age listed above is correct as of the age on pageant day of February Score sheets will be given back after the pageant and all tabulation will be conducted on computer. All winners are encouraged to participate in local community service events with their title. All winners will advance to the Kentucky Festivals State Finals in If you decide not to represent your title at state, the bid will be offered to the next contestant in line with the next highest score. I agree to let AmeriFest LLC, Kentucky Festivals, or Pine Mountain Photography to use any photos captured of me or my child at the pageant on social media for Kentucky Festival Pageants, including Facebook, Instagram, and Twitter as well as or Any division with 2 or less contestants may be combined. There are NO refunds. Poor sportsmanship will result in disqualification of titles and / or any prize or competing within Kentucky Festivals / AmeriFest in the future.

3 Basic information for pageant day! Pageant location is Best Western Richmond, Exit 87 off I-75 Registration is 1:45 2:45 pm and starts at 3:00 pm. Pageant postmark deadline for entry is February 11 or online entry kentuckypageants.com If you have any questions please text or All decisions are final and poor sportsmanship will not be tolerated & result in disqualification Checks or money order should be made payable to : AmeriFest Pageants No checks after 2/11/17 You may pay deposit online via credit card or paypal (kyfestivals@hotmail.com) You need to also mail a photo for the program book by 2/11/16 or it to kyfestivals@hotmail.com Deadline for ads for the program is 2/11/17 postmark Please bring photogenic pictures to the pageant with contestants name and age Every contestant will receive a gift, crown, & trophy or plaque. Winners will receive trophy, crown, & sash PLUS gift bag and qualify for state finals. All royalty placement, charity supreme,& most referrals will advance to the 2017 Kentucky Festivals State Pageant The contestant bringing most donated baby blankets will win charity supreme Open to any Kentucky Resident No refunds given. Person with most referrals will win a special title Kentucky Hospitality and qualify for state Please select categories entering below Beauty $85 (mandatory) Formal or Semi Formal Gown / Suit Optional Awards Package $30 Includes Photogenic, Best Hair, Personality, & Best dressed Sweetheart Casual Wear optional outfit $15 Anything valentine related, valentine colors, anything goes Cover Model & Centerfold $20 (qualifies for state) Send one pic for each by 2/11/17 by mail, One headshot One full body shot No larger than 8x10, no frames, must be labeled with name & age Supreme Titles $25 Includes Grand, Mini, & Novice Overall Supreme Titles Door Admission $5 each {same door} 9 & under free Charity Supreme $FREE$ Person bringing the most donated baby blankets Kentucky Hospitality * FREE * Person with most referrals of other contestants Total: $ Deposit Paid $ (minimum $50) Door: $ Method of payment: Cash Check Credit Card (adds 4%) Paypal: kyfestivals@hotmail.com If you want to pay credit card, provide here there will be an invoice sent securely to your to complete payment for credit card Mail Entries, Deposit, & Program Pic By 2/11/17 : Kentucky Festivals PO Box 1174 Richmond, Ky kyfestivals@hotmail.com 859/625/8490

4 It s easy! Sell good luck pages for the program book to family, friends, or business You can include pics or logos. See next page for receipt & prices! Simply send in receipt, payment, and ready to scan ad by your deadline! Plus win great prizes! No Out Of Pocket Expenses!! You can combine ads & raffle chances if you like. Example: Sell 100 raffle chances and 1 ad page = 2 Ad Page Prizes (see below) Sell chances on a $50 Walmart card given away at each pageant. Tickets are $1 each and ALL money goes towards your fees! $1 for $1! Example: Sell 200 chances get $200 pageant cash or the awards for 2 ad pages (see below). Use our sample tickets or make up your own. Print endless sheets online Peoples Choice Sell the most raffle chances for the Peoples Choice Award & qualify for Be a Pioneer for positive pageantry! The contestant with the most referred contestants to the pageant will win this supreme title, FREE entry, and qualify for state! Your name must appear on the Referred By line of the entry form, must have at least 4 referrals to be considered. Receive $15 off for each referral less than 4. Supreme sash, crown, and gift awarded to winner. Sell 2 ad pages: All Categories Free! Sell 3 ad pages: All Categories FREE, Trophy, Crown, & Program Book Sell 4 ad pages: All Above + $50 Gas Card & Crown Pin Sell 5 ad pages: All Above + garment bag, silver jewelry, & Kentucky Festival T Shirt Sell 6 ad pages: All Above + $50 Pageant Cash towards state, Stuffed Animal, & Crown jewelry Sell 7 ad pages: All Above + additional $50 (total $100) pageant cash & Thirty One Bag monogram Sell 8 ad pages: All Above + gold jewelry Sell 10 Ad Pages: Pageant Ambassador!! Plus automatically qualify for state!!!! Get all categories FREE plus 4 foot trophy with your name on it, 4 point round crown, $200 savings bond, crown pin, monogrammed sash, photo on the program back cover, pageant T-shirt, PLUS YOUR CHOICE OF ONE OF THE FOLLOWING (must notify us which gift) Digital Camera, New Bicycle, American Girl Doll, Diamond Accent Necklace, Family Game Basket Sell the most Wal Mart raffle chances Peoples Choice Award Crown, Sash, Gift, & Qualify for state Ambassador Supreme: The person selling 15 pages = Qualify for state finals, huge supreme crown, monogrammed title sash, 5 foot trophy, crown pin, pageant T-shirt, photo on cover of program! Plus choose from Battery powered ride on toy, Michael Kors Purse, or I-Pad Mini

5 \ Cash Check # Money Order Credit Card ( adds 4%) Paypal (adds 4%) For Credit Card Use Name on card Amount $ Phone # of card holder: of card holder ( invoice will be sent here for you to securely pay the above amount All ads will be placed in the program book you purchased the ad for available on pageant day only. The ads are printed in black and white but may be submitted in color. Ads are not returned and become the property of KFPA. What you send is what will be printed. We reserve the right to deny any advertising.

6 Contestants must qualify for state through one of the official preliminaries listed on the website Contestants will represent the first title they win, however they may also enter other preliminaries. If you choose to not attend state finals, the opportunity will be offered to the next highest score contestant. As always KFPA Contestants will compete at state as of their age on November tba 2017 at the state level. Prelims will continues to give back to compete as of age on pageant day of your preliminary. the community. Please bring at least one Teen and Miss Contestants should have never been married or have children. item to donate. MS contestants may be with or without children ages 23 + and be unmarried. Remember the person MRS contestants may be married with or without children and any age 20 & up! donating the most will State winners of queen, princess, or duchess as well as supreme titles, humanitarian, and ambassadors & will qualify for AmeriFest US Nationals (also king, prince, and duke). Nationals are July 28-30, 2017 in Pigeon Forge be our Charity Supreme winner and qualify for state + supreme awards. All contestants must be natural born females (excluding boys divisions birth 11 years) All photos for preliminaries and state level should not be Glitz touched up photos. E.G. eyelashes added, teeth added, etc. This is a natural pageant! Photos may be color or black and white and no larger than Please bring to registration, 8x10. Must NOT have frames. MUST include childs name and age on the back of each photo. must be new and at least At no time are refunds granted we order gifts, crowns, and trophies based on entries received. $5 value baby blankets Items accepted for the 2017 charity supreme awards are as follows and should be new items; new baby For Hearts for Zoe blankets for Hearts for Zoe or diapers for Grace Now shelter. The Ameri-Fest and Kentucky Festival platform and awareness campaign is for Stroke Awareness and Join our contestants making a Heart Disease prevention. difference all across the All scoresheets are returned after the pageant AT pageant bluegrass state! only judges decisions are final and shall be respected All entry forms are due by the deadline date unless prior arrangements for an extension has been made. ANY sponsor or personal checks should be written to : AmeriFest Pageants LLC There must be 40 contestants for 2 sets of supreme titles, if less we will still award one set of supremes. Boys will have their own set of supreme titles if there are 10 or more boys. Those winning queen, princess, duchess, king, prince, duke, supreme titles, ambassador titles, NEW Kentucky Hospitality, cover model, centerfold, and charity supreme will advance to state finals to represent their local title. No checks are accepted after the pageant deadline or on pageant day. (cash or credit only on pageant day) Attire is ANY type of store bought pageant dress or flower girl type dress or very dressy Sunday best. Ages 7 and older should have a floor length dress. Dresses may have beading and embellishments but NO Custom dresses, including Janice Jackie or China dresses they are considered custom. This is to protect the integrity of our Natural pageant policies. Violation could result in a full point deduction. Absolutely no fake hair, flippers, fake lashes, or spray tans. Age appropriate makeup is okay and age appropriate acrylic nails. As always if you have questions please ask. Tanning & lashes are permitted on girls 13 and older. Remember we are NOT a Toddler & Tiara type pageant We want to showcase natural beauty. Photos for program book (everyone should submit), centerfold, and cover model should be submitted by deadline NO ed photos accepted. Bad sportsmanship will result in disqualification and relinquishment of prizes and title. Boys may compete in tuxedo or Sunday s best * We reserve the right to combine age divisions with 2 or less contestants. Nobody EVER leaves empty handed, ALL contestants will win at least a trophy, crown, and gift bag!! In addition to qualifying for 2017 state finals There are individual prizes given for all categories, including runner-up gift packages. Individual awards for: Photogenic, prettiest hair, prettiest eyes, best dressed, personality, are given in EACH division. Cover Model, Centerfold, Optional Outfit winners will win trophy or plaque. New Cover Model & Centerfold qualify for state! All Contestants Will Win: Trophy, Crown, (boys scepter), and name brand Toy or age appropriate gift / jewelry. Everyone Places No One Goes Home Empty Handed EVER! Royalty Gifts: Queen, Princess, Duchess, King, Prince, Duke, prizes include trophy, crown, sash, gifts bags and bids to State Finals. Supreme Gifts: 0-4 Years and 5 & up TOP prizes of Grand, Mini, Novice Supreme will win monogrammed custom sashes, 4 foot trophies, gorgeous crown, great gift bag, qualify for state, sponsor gifts, and state qualify for state finals in November!