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Application Submission The following items must be included with your application: 5 copies of your completed application Two 5x7 pictures (must be the same picture) Resume & Platform (Miss Division Only) JPG picture emailed to cotc@cityofwetumpka.com (Miss Division Only) Check payable to City of Wetumpka $50.00 before October 2, 2017 $65.00 after October 2, 2017

Name: Grade: Mailing address: City, State, Zip: COTC USE ONLY CHRISTMAS ON THE COOSA Date Received PAGEANT APPLICATION & CONTRACT APPLICATION DEADLINE: OCTOBER 2, 2017 REHEARSAL: OCTOBER 26, 2017 Amount PAGEANT: OCTOBER 28, 2017 WETUMPKA CIVIC CENTER Check - Cash (PLEASE PRINT) PLEASE READ CAREFULLY! NEW CHANGES ARE BEING IMPLEMENTED! School: Age: Phone #: Cell #: Email: T-shirt size: Parent or legal guardian: (to be printed on program) Please include two identical 5X7 pictures with all applications (MANDATORY) Activities- Maximum of FIVE (School, Community, Church, etc.) Grades 11 & 12: Resume & personal platform (type on a separate page a brief explanation of the cause and community service goals pertaining to your platform.) Letter of recommendation from teacher or school counselor. Grades 9 & 10: Resume *see rules and regulations for detailed explanation Personal Goals/Interest (hobbies, favorite book, movie, TV show, school subject) AGREEMENT A $50 entry fee must be submitted with this form by 4:30 p.m. Monday, October 2, 2017. Applications received after October 2, 2017 will have a $65 application fee. Entry forms may be delivered to the City of Wetumpka Administrative Building, 408 South Main Street (located next to the Wetumpka Civic Center) or mailed to Christmas on the Coosa Pageants, P.O. Box 936, Wetumpka, Alabama 36092. Make checks payable to Christmas on the Coosa. Applicants must live in Elmore County to be eligible to participate. Participants will be judged according to the rules furnished with this application. A mandatory pageant rehearsal will be held on Thursday, October 26, 2017. Please see attached rules for designated times. I understand if I am the winner of a pageant I will be required to participate in all Christmas on the Coosa activities and other activities (as outlined by Christmas on the Coosa) as a representative for Christmas on the Coosa as requested. Should I not be able to fulfill these obligations, I will forfeit my title and prizes. I also agree to hold harmless the Miss Christmas on the Coosa Pageant and the City of Wetumpka of any all responsibility of personal injury, theft and/or damage of personal property possessed during the Miss Christmas on the Coosa Pageant. Signature of Applicant Date Signature of Parent or Guardian Date THIS FORM MUST BE SIGNED TO BE ACCEPTED Signature indicates that you understand and agree to abide by Pageant Rules. For more information, please contact the COTC office at 334-567-1384, email trobinson@cityofwetumpka.com or visit www.cityofwetumpka.com 1

Christmas on The Coosa Pageant Rules and Regulations *Please read carefully before you fill out application Our mission is to select individuals to serve as ambassadors for The City of Wetumpka and Christmas on the Coosa events and activities. The pageant program provides an opportunity for girls to develop knowledge and skills in a fun and memorable manner that will help build character and develop leadership abilities. Girls who live in Elmore County will be eligible to participate in Christmas on the Coosa Pageants. ***ALL EVENTS LISTED BELOW ARE MANDATORY Petite Miss Christmas on the Coosa (K-2) Rehearsal Thursday, October 26 5:30 p.m. Pageant - Saturday, October 28 11:00 a.m. Little Miss Christmas on the Coosa (3-5) Rehearsal Thursday, October 26 5:30 p.m. Pageant - Saturday, October 28 11:00 a.m Junior Miss Christmas on the Coosa (6-8) Rehearsal - Thursday, October 26 6:30 p.m. Pageant Saturday, October 28 4:00 p.m. Teen Miss Christmas on the Coosa (9-10) Miss Christmas on the Coosa (11-12) Rehearsal - Thursday, October 26 6:30 p.m. Pageant - Saturday, October 28-4:00 p.m. Rehearsal - Thursday, October 26 6:30 p.m. Pageant - Saturday, October 28 4:00 p.m. *Winners for the first pageant must return to the 2 nd pageant for pictures with all winners. *Rehearsals will last approximately one hour. During the pageant, parents will be allowed backstage to pin pageant numbers on their daughter, but must leave once that has been done. Parents are not allowed back stage during the pageants. *Pageant winners must agree to represent Christmas on the Coosa at events on December 9, 2017 and other events as outlined by The City of Wetumpka and The Christmas on the Coosa Director. Pageant winners must be present to crown the new winner during the 2017 COTC pageants. If unable to attend they will forfeit their title, crown, and prizes. *Inappropriate behavior or failure to follow rules during the pageants may result in the immediate disqualification of a participant as deemed necessary by the pageant staff for the integrity of the program. If disqualified, the participant will be asked to leave the event immediately. No refund of fees will be made in case of disqualification. 2

*Participants will be judged on the following criteria: K-8 th Grade- Introduction 25%, Poise/Appearance 25%, On-Stage Question 25%, Punctuality, and Behavior 25% 9 th -12 th Grade- Interview-40%, Poise/Appearance 25%, On Stage Question 25%, Punctuality, and Behavior 10% Participants will be judged on appearance as follows: MAKE-UP: Grades K-2 - pale lip color ONLY Grades 3-5 - light make-up, pale lip color, NO EYE SHADOW Grades 6-8 - light make-up, pale lip color, LIGHT EYE SHADOW Grades 9-12 - tasteful make-up, NO GLITTER If you have more than the make-up listed above you will be asked to remove it before going on stage DRESS: Grades K-2 - holiday or heirloom type dress, NO STRAPLESS Grades 3-5 - holiday or party type dress, NO STRAPLESS Grades 6-8 - holiday or party type dress, NO BARE MIDRIFF Grades 9-12 - evening gowns, NO BARE MIDRIFF No contestant shall have any body art or body piercings except two piercings per ear. Judges will be provided a copy of these rules and will be instructed to deduct points for failure to follow any pageant rule. Stage interview: Participants will be provided with a list of question during rehearsal. During their on stage interview they will draw one question to be answered (interview/personality points). Teen and Miss Christmas on the Coosa (grades 9 12) will have scheduled interviews with judges the day of the pageant. Interview times will be given when the application is submitted or at rehearsal. Questions asked during the scheduled interview time will be related to their platform or resume. Interviews will be held at the City Administrative building located at 408 S. Main St., next to the Civic Center. Miss Christmas on Coosa (grades 11-12) contestants are required to attach a separate typed paragraph briefly explaining the platform (see below) and provide a resume at rehearsal. Platform: (Grades 11 & 12 only) Attach a separate paragraph clearly explaining the platform chosen. A pageant platform is a cause that a contestant chooses to volunteer her time to either bring awareness to, raise money, or implement a program she has created that will help address the problem. There are so many needs in the world today that finding a cause you feel passionate about in your community is just a matter of looking around or talking with a few business leaders. As a potential titleholder, you can use this to your advantage to get your message out in a bigger way if you re prepared. The paragraph should explain the advocacy cause, the reason the platform was chosen (any personal experience, etc.) and any community service performed or plans to perform in the future to bring awareness. 3

Prizes will be awarded to the contestant that sells the highest number of tickets for Petite, Little Miss and Junior Miss, Teen Miss and Miss Pageants. All money for tickets sold and unsold tickets must be returned in the brown envelope the week prior to the pageant. Please fill in the front part of the envelope when you turn it in. Each contestant has ONE FREE pass in the envelope for a parent or guardian. Tickets will be available when the application is submitted or at rehearsal. *Photographs may be taken during the pageant. However, due to space and blocking someone else s view, video cameras are prohibited. Please inform family and friends that NO video cameras will be allowed at the pageants. We consider every participant a winner, however, queen, first, second and third runners-up will be named in all pageants. Winners in the photogenic contests, Christmas spirit, and pageant admission ticket sales winners will also be recognized. A Miss Photogenic winner will be named in each pageant division. Please submit two copies of the same 5x7 picture with your application. Guests can vote for their favorite photograph through intermission for $1.00 per vote. People s Choice will be posted for online voting for Miss Division Only.(11 th & 12 th grades only) Pictures for People s Choice must be submitted in a jpg format via email by October 5, 2017 for the online voting. Pictures can be emailed to coct@cityofwetumpka.com Prizes are as follows: PETITE MISS CHRISTMAS ON THE COOSA-Crown and Sash/Jacket LITTLE MISS CHRISTMAS ON THE COOSA-Crown and Sash/Jacket JUNIOR MISS CHRISTMAS ON THE COOSA-Crown and Sash/Jacket MISS TEEN CHRISTMAS ON THE COOSA-Crown and Sash/Jacket MISS CHRISTMAS ON THE COOSA 3 rd Runner Up-$200 Scholarship 2 nd Runner Up-$300 Scholarship 1 st Runner Up-$500 Scholarship MISS CHRISTMAS ON THE COOSA-$1500 Scholarship along with Crown, Sash and Jacket Miss Christmas on the Coosa and top 3 runners up will be awarded a scholarship to any college or university within the State of Alabama. The amount will be forwarded to the college or university of your choice within the State of Alabama when they are officially enrolled as a full-time student. This scholarship must be used within two years from their high school graduation date. The scholarship is paid after the completion of their year as Miss Christmas on the Coosa. The financial department will need to fax verification stating the winner is an enrolled student. To plan for this financial award, you should contact: Tiffany Robinson City of Wetumpka 408 S. Main St. Wetumpka, AL 36092 Direct: 334-567-1384 Fax: 334-567-1307 trobinson@cityofwetumpka.com IF ANY PAGEANT WINNER ENGAGES IN LEWD AND/OR INAPPROPRIATE BEHAVIOR DURING THE YEAR FOLLOWING THEIR SELECTION, THEY WILL FORFEIT THEIR TITLE, SASH, CROWN, ALL PRIZES AND BE DISQUALIFIED FROM PARTICIPATING IN ANY FUTURE CHRISTMAS ON THE COOSA ACTIVITIES. SUCH BEHAVIOR INCLUDES, BUT IS NOT LIMITED TO ARREST OR DETAINMENT FOR DRUG OR ALCOHOL USE, VIDEOS OR PHOTOS EXHIBITING PARTIAL OR TOTAL NUDITY, SUSPENDED FROM SCHOOL. ALL DECISIONS WILL BE MADE BY THE PAGEANT DIRECTOR AND SHALL BE FINAL. 4