Dear Potential Miss Black Hills Roundup Contestant:

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1 MISS BLACK HILLS ROUNDUP QUEEN PAGEANT Contact Information Mailing Address: 724 Mustang Drive, Belle Fourche, SD Address: Quick Contacts: Sherry Smeenk: Tara Olson: Dear Potential Miss Black Hills Roundup Contestant: We are pleased that you are considering running for the title of Miss Black Hills Roundup Queen, Jr. Queen, or Princess. If you enter our pageant, below are the key things for you to do, with further details about each explained on the following pages. Application Checklist: 1. Application form 2. Waiver of Liability Release 3. Photo (8 x 10 Headshot) 4. Newspaper release biography 5. Arena biography 6. Resume 7. Script for modeling dress 8. Basket/Purse to Auction (Seniors Only) 9. Entry fee Application entry deadline date is June 1, All application information must be in one packet when returned to Miss Black Hills Roundup Committee, 724 Mustang Drive, Belle Fourche, SD

2 Application Form: (please print) MISS BLACK HILLS ROUNDUP QUEEN PAGEANT: FRIDAY, JUNE 29, 2018 CORONATION: SATURDAY, JUNE 30, 2018 APPLICATION DEADLINE: FRIDAY, JUNE 1, 2018! Senior age 18 to 26! Junior-age 13 to 17! Princess-age 12 & under (your age as of JANUARY 1, 2018) NAME: ADDRESS: AGE: DATE of BIRTH: PHONE NUMBER: PARENT S NAME: PARENT S PHONE: SPONSOR S NAME:

3 Additional Information for application: Senior, you will need to send: *150 to 180 word newspaper release biography, * formal one page resume of your choice, * script describing your modeling dress as commentary * typed list of items in your basket/purse to sell at Kickoff Party (may bring list to check-in) * $75.00 entry fee- check or money order made out to Miss Black Hills Junior, you will need to send: *150 to 180 word newspaper release biography, * formal one page resume of your choice, * script describing your modeling dress as commentary, * $55.00 entry fee- check or money order made out to Miss Black Hills Princess, you will need to send: * biography about yourself, no specified length, for newspaper release, * script describing your modeling dress as commentary, * $35.00 entry fee- check or money order made out to Miss Black Hills Send form & all additional information to: MBHR Queen Pageant Committee % Sherry Smeenk 724 Mustang Drive Belle Fourche, SD 57717

4 Wavier for Miss Black Hills Roundup Queen Pageant HORSEMANSHIP AND RELATED ACTIVITIES ASSOCIATED WITH THE MISS BLACK HILLS ROUNDUP QUEEN PAGEANT RELEASE ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, the undersigned, represent that I am medically fit to participate in this event. In consideration of you accepting my entry, I, intending to be legally bound, do hereby for myself, my heirs, executors and administrators waive and release forever all rights and claims or damages I may accrue against all persons and agencies involved with promoting the Miss Black Hills Roundup Queen Pageant and any and all activities related to the Miss Black Hills Roundup Queen Pageant. Further, I hereby grant full permission to any and all the forgoing to use any photographs, video tapings, or other recordings of the competition for any purpose whatsoever. Signature of Participant Date MINOR RELEASE We have read this document; we understand it is a full release forever of all rights, claims or damages. We appreciate and assume all risks inherent in the Miss Black Hills Roundup Queen Pageant horsemanship and all other activities that are related. Further, we grant full permission to all photographs, videos or recordings of the competition for any purpose whatsoever. Same as above. Date: Signature of Legal Guardian Signature of Minor

5 Miss Black Hills Roundup Queen Pageant Schedule for Friday, June 29, 2018 AmericInn Hotel, Belle Fourche, SD Coronation on June 30, 2018 Schedule: June 29, 2018 (Friday) 8:30-9:30 am: Check-in for Miss Black Hills Roundup Queen Contest 10:00-12:00 Fashion Show/Speeches is open to the public 10:00-10:40 am: Welcome, Queen Introductions/Fashion Forward Style Show 10:50-11:30 am: Modeling & Impromptu Speeches 11:30-12:00 pm: Media Interviews for Sr. Contestants 12:00-12:30 pm: Lunch for contestants/judges/parents/visiting queens 12:30-2:00 pm Personal Interviews 3:00 Horsemanship is open to the public 3:00 pm Horsemanship-Black Hills Roundup Grounds 6:00 pm Black Hills Roundup Sponsor Kickoff Party, Roundup Grounds. Sr. contestants will be selling their basket. Contestants and their parents are welcome. June 30, 2018 (Saturday) 4:30 pm Meet at the Black Hills Roundup Grounds 5:00 pm Free Community Supper (contestants do not need ranch rodeo tickets) 6:00 pm Mutton Busting begins After Mutton Busting Coronation of Miss Black Hills Roundup (MBHR) Princess; Jr. Miss Black Hills Roundup Queen; and Miss Black Hills Roundup Queen in the Arena.

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