Van Buren County Fair Queen Pageant
Elementary - Saturday, September 8th at 6:00
Teen, Jr & Sr
Saturday, September 8th at 7:00

Division:                                               Contestant No.                            Birth date:                      

Contestants Name:_______________________________________Phone:_________________________

Address:                                                                                                                                   _ 

Daughter/Son of                                                                                                                      __

Siblings                  ___________________________________________________________

School/Grade                                                                 Age                                     _________ 

Activities, Hobbies & Sports____________________________________________________                                                                                                             ____________________
__________________________________________________________________________

Pets:                                                                                                          _________________ 
                                                                                                                                                       
Honors Won:________________________________________________________________

Favorite thing about the fair:                                                                      _________________
__________________________________________________________________________

Favorite Foods, shopping place or anything of interest:_______________________________
___________________________________________________________________________

Future Ambition & Why:________________________________________________________
___________________________________________________________________________

I gave permission for my child to participate in this event sponsored by the Van Buren County Fair Association. I will not hold the Fair Association collectively or individually responsible for any accidents that may occur during this event.

Date:                                   Relationship:                          ____________________________ 

Signature:                                           ____________________________________________