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Butterfly Kisses Fundraiser Pageant
Entry Form
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“2nd Annual Butterfly Kisses Pageant”

March 19, 2005 - at 2:00 p.m.

Sponsored:  The Bulloch County Forestry Pageant


Divisions are as follows:

Teeny 1-3  Tiny 4-6  Little 7-9  Junior 10-12

Teen 13-16  Miss 17-22  Mrs. 17 & up

**Optional Interview & Speech Division for Junior, Teen, or Miss $25

This is an optional and is not tallied in with pageant scores.  Awards will be given.

(Must have 10 girls participants – Great Practice for Prelims or State)

Deadline for entry is March 12th. 

No practice, please arrive by 1:30, doors will not open until 1:00


 THIS IS A FUNDRAISER PAGEANT FOR THE BULLOCH CO FORESTRY PAGEANT!!!!!    No mandatory appearances.  All winners will receive the Beautiful Crown pictured above, Sash, & Trophy. There will be a 1st, 2nd, & 3rd Runner-up in each division. 

All participants will receive a nice trophy or gift.

The cost to enter will be $75.00 and that will include all optionals including Prettiest Dress, Smile, Hair, and Eyes. 


Enter Free with 3 “NEW” referrals.  Sister Discount – 2 for $125

  The Peoples Choice Winner will receive a

Trophy and Sash as well. 

The trophy will be a huge trophy.






Phone Number____________________________ Email___________________________________


Parents Names___________________________________________________________________________


Age___________ Eye Color______________________ Hair Color___________________________




Favorite Food ________________________ Favorite TV Show _____________________________


School Clubs etc.__________________________________________________________________


What do you want to be when you grow up? ____________________________________________


Current Titles______________________________________________________________________


Parent Signature ___________________________Contestant Signature ____________________





Contact and Mailing Information:

Kerri Morrison-Bulloch Co. Forestry Director

P.O. Box 2742

Vidalia, Ga 30475

Home:  912-583-2044




Referred By:  __________________________________________


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