National Entry Form

National Entry Form Name Age ______B/D ______(Age Date of Pageant) Email Address: (Most info sent by email) Check division you are Entering: _____ TINY MISS (3-4) _____ JUNIOR MISS (7-9) _____ TEEN MISS (13-15) _____ PETITE MISS (5-6) _____ YOUNG MISS (10-12) _____ ELEGANT MISS (16-19)

Items X’d are Mandatory: (Please put Money Amounts in Spaces Provided) $_____ Modeling Entry Fee-$75.00. Entry Fee is paid if State Modeling Winner. If state top 10 deduct $50.00. $_____ Talent Entry Fee - $75.00. Entry Fee is paid if State Talent Winner. If state top 10 deduct $50.00. $_____ Glamour Girl - $75.00. State crown winners are paid. Runners up deduct $50.00.

$_____ GRAND TALENT (OPTIONAL) - Entry Fee - $50.00 $_____ SUPREME MODEL (OPTIONAL) - Entry Fee - $50.00

$_____ (X) You must pay for your photo in the Program Book! (Please mail a picture with entry). Choose from 2 options below - Please mark your choice: _____ (1) 1/2 page in the book - $110 - includes photogenic - May list 10 Sponsors _____ (2) Full page in book - $150 - includes photogenic - May list 15 Sponsors _____ (3) Two sisters on a page – $175 – includes photogenic – May list 10 sponsors

$_____ (X) You are required to wear the ODM Glitz T-Shirt for interview. (same as state) Circle size you want and the quantity that you need. T-Shirts are $20.00 each. Children’s: ___ Ex-Small (4) ___ Small (6-8) ___ Medium (10-12) ___ Large (14-16) Adult’s: ___ Small ___ Medium ___ Large ___ Extra-Large $_____ (X) Admission Badges - $30.00 ea. Buy badges and save $ OR pay at door. Quantity: _____ Badges will cover competition for Monday Modeling, Tuesday Talent, Wednesday Morning Awards and Wednesday Finals

$ (X) Mandatory Base Fee - $100 or $150 for 2 in family - Souvenir book/registration fee, etc.

$ 25.00 (X) Awards Fee.

$_____ Diamond Girl - Optional - Entry Fee $90.00 for all 5 events or $25.00 per event. $_____ Sweepstakes Competition - $90.00.

$_____ Additional Photogenic Pictures @ $20.00 each - (Do not mail these) $_____ Portfolio - $25.00 - (If entered in Sweepstakes mark this paid) Do not mail.

$ If entry form is not fully completed (front and back) and sent to headquarters prior to deadline with deposit & photo, a $50 processing fee will be added to your fees.

$_____ TOTAL AMOUNT OF ENTRY FEE CASH OR CERTIFIED FUNDS ONLY $_____ AMOUNT ENCLOSED SPONSOR CHECKS MUST BE RECEIVED BY DEADLINE

$_____ BALANCE DUE DEADLINE TO ENTER IS JULY 1, 2016

I do hereby give my child permission to enter ODM Pageants. I agree to abide by the rules and regulations and understand that actions to the contrary could result in disbarment and forfeitures of all fees and titles by sole discretion of the sponsor. I agree to hold harmless the Staff of Our Diamond Miss from liabilities due to theft, accident or injury while participating or having to do with Our Diamond Miss Pageants.

SIGNED (Parent or Guardian) ______Date ______(Over) Contestant Information

Division ______Number______(assigned later)

Please Print Clearly:

______Name Age Day of Pageant Parents or Guardian (need complete mailing address)

______Address City State Zip

( ) Phone Number E-mail (Please print clearly. Confirmation of entry will be sent via e-mail)

Use the following area to clearly list sponsors and good luck wishes for your page in the program book. Half page may list 10, full page may list 15. Sponsors: ______

______

List Modeling/Talent Teachers ______

Favorite Hobby/Interests ______

Ambition (When I Grow Up) ______

List Awards You have Won (Other than pageants) ______

______

Name of Talent: ______

Type of Talent: ______

Circle type of microphone needed, if any: Cordless Mic - Head Mic - Corded Mic - Mic on a Stand