AGE________                     (Please Type or Print neatly)               Tee Shirt Size__________________

FULL NAME OF APPLICANT __________________________________________________________________

Address of applicant  ________________________________________________________________________

Date of birth  _______________________ Telephone ______________________________________________

Names of Parents ____________________________________________________________________________

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High School  ____________________________________________________   Grade completed __________

College (Now or Future)___________________________________ Major (s) ___________________________

Career Goals ________________________________________________________________________________

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Active member of the following community organization (s) _______________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Activities and Honors (School, Community, etc.)__________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Hobbies and Special Interests (Music, Sports, etc.) ________________________________________________

_____________________________________________________________________________________________

______________________________________________________________________________________________

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***I hereby acknowledge that I have read the official rules and responsibilities printed in the 2011 Morgan County Fair Queen Guidelines, that I am complying with them in every way, and the personal data submitted is true and correct.***

Contestant signature _____________________________________________________ Date ________

Parent signature _________________________________________________________ Date ________

** Please return this form to the Morgan County Fair office no later that 4:30 p.m. on Friday, June 10, 2011.**

$30.00 entry fee submitted (Date) __________________ Sponsor _____________________________________

Address ____________________________________________________________ Phone __________________