Miss Autumn
of Carbondale 2011 Pageant
(November 6, 2011 @ the Varsity Center for the Arts)
Pageant Application (grand prize is $1000!)
Contestant Name: ______________________________________ Age: _____
Home Address: _________________________________________________________________
Phone: ________________ E-mail: ________________________________________________
Activities and Hobbies: __________________________________________________________ ______________________________________
Interesting Facts about yourself: __________________________________________________________________________________________
Future Goals: __________________________________________________________________ _____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Please check all that apply:
Miss Photogenic (Optional):________
$15.00 entry fee (to be included with entry fee)
Photos will be placed at 710 Bookstore,
and in the VCA lobby during the Pageant.
Contestant with highest monetary
donation wins.
Please include photo with application. |
Talent Competition (Optional):________
$15.00 entry fee (to be included with entry fee)
Describe talent:
______________________________________
Equipment needed:
______________________________________ |
Entry fee is $100. Contestants must be available for December 2011 Lights Fantastic Parade also May and October 2012 Downtown Art and Wine Fairs. Please mail application and make check(s) payable to Carbondale Main Street, 121 S Illinois Avenue, Carbondale, IL 62901. For more information, contact Meghan Cole at 618-529-8040 or visit our website at www.carbondalemainstreet.com. |