Address of applicant  ________________________________________________________________________

Date of birth  _______________________ Telephone ______________________________________________

Names of Parents ____________________________________________________________________________

High School  ____________________________________________________   Grade completed __________

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

Career Goals ________________________________________________________________________________

____________________________________________________________________________________________

Active member of the following community organization (s) _______________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

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

_____________________________________________________________________________________________

_____________________________________________________________________________________________

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

_____________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

***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 __________________