To
participate in Mini Miss & Mister EU, Elbe 2012
fill out and submit the Entry Form.
Entries will be accepted up to the 24th of January,2012
ENTRY FORM
Mini Miss & Mister EU, Elbe 2012 (open)
Name & Surname ____________________________
Birth date ____________________________
State ____________________________
City ____________________________
Address ____________________________
Passport ____________________________
Phone Number ____________________________
Parent’s ____________________________
Parent’s mailing Address ______________________
Parent’s Skype ____________________________
Personal contestant´s achievements_________________________________
_______________________________________________________________
Sponsored by__________________________________________________
I agree to abide by the rules and regulations by signing this entry form.
I will abide by any and all guidelines. I fully understand that the Director, nor staff, neither facility where pageant will be held shall be liable for property damage, loss of property, or personal injury any time during or subsequent to the pageant. I will not hold the pageantor staff responsible for any accident, damages or losses incurred at the pageant or during transportation to and from the pageant. I agree that any fees paid are non- refundable. I give permission for my child’s picture or likeness and name to be used in press or website, and for the pageant for the purpose of promotion or advertising.
I also agree that any videos taken duringthe pageant may be used for advertising purposes.
Date: __________ ________ Parent/Guardian signature
