Miss Rodeo New Mexico Pageant Entry deadline: April 1, 2017 Official Entry Form MISS RODEO NEW MEXICO Ages 19-25 Entry fee $300 Miss Rodeo New Mexico Pageant PO Box 1845 Clovis, NM 88102 575 791-0037 [email protected] MISS RODEO NM TEEN Ages 15-18 Entry fee $200 MISS RODEO NM PRINCESS LITTLE MISS RODEO NM Ages 12-14 Entry fee Ages 7-11 Entry fee Name $175 Age Address Date of Birth City Phone No. $150 , NM Zip Code Cell No. Email Address Father Mother Address City , NM Zip Code Email Address Name of Primary Local Newspaper Contact Person Website Address City Phone No. , NM Zip Code Fax No. Email Other Local Newspaper Contact Person Website Address Phone No. City Fax No. , NM Zip Code Email FOR OFFICIAL USE ONLY Date Received: Please include a copy of your birth certificate and a photocopy of your valid NM Drivers License, if applicable, and a signed and notarized copy of the Expectation Statement. You must submit one 8x10 color photograph. Please make sure your name is on the back of your photo. Photo must be taken wearing hat but no rodeo crowns. You must include a copyright release from your photographer as it will be reproduced for pageant and program use, and you will be required to sign a release for all photos taken during the pageant. Mail all entries and fees to MRNMP, PO Box 1845, Clovis, NM 88102 by April 1, 2017. NOTE: You must use this form for entry into the Miss Rodeo New Mexico Pageant. Failure to do so will result in your disqualification. ALL APPLICANTS: Print 2 copies. One to mail with your attachments, one for your records! SCHOOLS ATTENDED: ACTIVITIES THAT YOU ENJOY: AMBITIONS OR GOAL IN LIFE: PREVIOUS TITLES HELD: DESCRIBE YOURSELF, your interests and hobbies, and why you would like to be a Miss Rodeo NM Title holder (to be printed in the MRNM Pageant program): Please print two copies, one to include with your attachments, and another for your personal records. Print Form
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