Atkinson County Marching Rebel Band Presents:
Miss Harvest Moon
Saturday, November 5th, 2011
Atkinson County High School Gym
AGE DIVISIONS: 0-11 months~1-2 years~3-4 years~5-6
years~7-9 years~10-12 years~
**Pageant will be semi-glitz to glitz.**
Registration for all divisions will be 3-3:30 pm
Each contestant will be judge on Beauty, Personality/Poise, gown and overall appearance.
(Ages 0-4 will not be judged on Poise). Contestants will be judged on Beauty 1-10, Poise/Personality 1-10, Gown 1-10, Overall
Appearance 1-10. We will have a queen and 2 runners up in each age division. Queens will receive a Nice crown, monogrammed
sash & gift. Runners up will receive a gift.
Prettiest Dress, Prettiest Hair & Prettiest Smile
One winner in each age division. Winner will receive a gift.
One winner in each age division. Winners will receive a gift. Photo will need to be at
5x7 or 8x10 only. Can be color or black and white. Please NO frames! MUST HAVE PICTURE
BY 3:15 ON DAY OF PAGEANT!
Overall People’s Choice
Start now by selling $ 1.00 votes for your chance in winning a Nice Crown & Sash!
Turn in your money the day of the pageant. We will have one People’s Choice Queen! It be eligible for Overall People’s
Choice, you need to have sold $ 100.00 worth of tickets.
Fees & Practice
Entry Fee is Beauty, Dress, Hair, Smile & Photogenic for $ 80.00.
Deadline and Practice is on November 3rd, 2011
Practice will begin at 6 pm. Practice is not mandatory.
Other Pageant Information
v In the event that there are less than 2 contestants in one division,
the pageant committee may combine that age division. We will not do this unless we notify the contestant or parents.
v The pageant committee is not responsible for any accidents, which may
occur to, from or during the pageant.
v All judges’ decisions are final!!!!!
v Admission is $ 5.00 per person, Children 5 and under are free. One
parent gets in free with paid contestant.
v This pageant is open to anyone within age divisions.
v Scores will be given out at the pageant after crowning.
v One parent gets in free with paid contestants.
v No personal Interview, no mandatory appearances’ or on stage
v For more information please contact Tina Smith Email is firstname.lastname@example.org Home Number (912) 422-7077
Registration & Emcee Form
Name: ___________________________ DOB: ________________ Age: _______
Mailing Address: _____________________________________________________
Email Address: _____________________________________________________
Parents: ___________________________Telephone #______________________
Hair Color: ____________ Eye Color: _____________ Favorite Color:_____________
TV Show _____________________ Food: ____________________________
Sponsored By: ______________________________________________________
I understand that Atkinson County Marching Rebels Band & anyone associated with the pageant
is not responsible for property damage, lost items or personal injury during the pageant. I also understand that the judges’
decisions are final and will not be disputed. I certify that I understand all of the rules and will conduct good sportsmanship. I also understand that there are NO refunds unless the pageant is cancelled and there
will be a $ 50 service charge for all returned checks.
Parents Signature ___________________________________________________
Make money orders or Check out to Atkinson County Marching Rebels!
You can mail your application to:
C/O Miss Harvest Moon Pageant
375 Fannie Mizell Rd
Pearson, GA 31642
administrative use only
Money Order ____