Little Miss Rock Island County Fair Pageant 2015
(Please remember that the judges will see this application.)
Contestant #: _______________ (for Director only)
Name: ____________________________________________________________________________
Nickname (if any): ____________________
Hometown: _____________________________________ Age: _____ DOB: ___________________
Address: __________________________________________________________________________
Mom’s Name and Address: ___________________________________________________________
Dad’s Name and Address: ____________________________________________________________
Brothers and/or Sisters: ______________________________________________________________
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Height: __________Eye Color: ________________Hair Color: _______________________________
School Attending in Fall of 2015?_______________________________________________________
Favorite Color and WHY?: ____________________________________________________________
__________________________________________________________________________________
Favorite Food and WHY? _____________________________________________________________
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Favorite Book or Movie and WHY? _____________________________________________________
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What do you like to do for fun? :_______________________________________________________
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Why do you want to become Little Miss Rock Island County Fair? _____________________________
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What would you like the judges to know about you? (Interesting Fact): ___________________