Glitzy Girls Model Search Pageant

Contestants Name First Last

Date of Birth

Email Address

**Clothing Size -- **If your child is between sizes we want the larger of the 2 Only one size will be ordered for your child.

Age Group

All-inclusive Supreme Package $450.00
Deposit is $50 (Balance is $400 at registration)
We will take entries up to May 15th 5pm EST $ Dollars . Cents

All-inclusive Sibling Package (per child) $225
Deposit is $50 (Balance at Door $175)
$ Dollars . Cents

ADDITIONAL OPTIONS (not mandatory)
Check all that apply.
(No sibling discounts on Optional's)

$25 Casual Wear (EXTRA EVENT) Can replace Swimwear Score $25 Overall Couture Wear - Fashion Model) $25 Overall Most Beautiful $25 Overall Swimwear or Casual Wear $25 Overall Most Photogenic $25 Overall Composite Winner $25 ea. Extra Natural Photo $25 ea. Composite $100.00 Unlimited Photo Events (Unlimited Photo Events Include both Natural and Composites, No more than ten photo’s - $10 Child Wrist Band (child up to 24mos.free) $20 Adult Wrist Band

$52.00 NON-REFUNDABLE OR NON-TRANSFERABLE DEPOSIT PayPal -- (Credit/debit card) by phone (or mailed) Payable to: Studio 3305 3305 Patchett Road, Baldwinsville, NY 13027 PayPal:glitzygirls@twcny.rr.com.

Balance due at Registration 5/25/12- cash only accepted. You may pre-paypal balances until 5/1/12 No Checks - No EXCEPTIONS!

I hereby give permission to Glitzy Girls Magazine to photograph this weekend's events and give the permission to use said images in their publication Glitzy Girls Magazine.

Contestant Address:

Town State ZIP

Parents Name (if under 18 yrs) First Last

Director(s):Jim and Lorinda Brown

Host Hotel: Holiday Inn Harrisburg East - 4751 Lindle Road Harrisburg PA 17111 Phone number 717-939-7841 Holiday Inn, 10 minutes from Harrisburg Airport!

Don’t miss your chance to strut your stuff on the glitzy girls catwalk this MAY - in the 2012 Summer Edition !

Call us with any questions you may have. 315.395.5551

Website

Wufoo