LITTLE MISS & MR.
PERMIAN BASIN FAIR
& EXPO PAGEANT
REGISTRATION FORM
NAME______________________________________________________________________
AGE GROUP (PLEASE CHECK ONE) 4-5
[ ] 6-7 [ ] 8-9 [ ] 10-11 [ ]
ADDRESS_______________________________________CITY_____________ZIP________
PHONE_____________________AGE_______BIRTH
DATE___/____/____HEIGHT_______
EYE COLOR__________________HAIR
COLOR_________________GRADE____________
SCHOOL____________________________________________________________________
PARENTS
NAME_____________________________________________________________
TELL US ABOUT YOURSELF:
WHAT QUESTION WOULD YOU LIKE TO BE ASKED ON
STAGE? __________________
____________________________________________________________________________
WHAT IS YOUR FAVORITE THING TO DO IN
SCHOOL?_____________________________
WHAT IS YOUR FAVORITE
TOY?_______________________________________________
WHAT IS YOUR FRIEND’S NAME?
_____________________________________________
DO YOU HAVE PETS? IF SO
WHAT?___________________________________________
CAN YOUR PET DO TRICKS?________WHAT?____________________________________
TELL US SOMETHING INTERESTING OR FUNNY THAT
HAS HAPPENED TO YOU:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
RETURN TO:
Little Mr. & Miss Pageant
Permian Basin Fair
218 W. 46th Street
Odessa, TX 79762
DEADLINE TO ENTER: THURSDAY, AUGUST 26, 2008 - 5:00 P.M.