83Rd Annual Miss Los Angeles County Pageant & 28Th Annual Miss Culver City Pageant Official Preliminary to the Miss California/Miss America Pageant

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83rd Annual Miss Los Angeles County Pageant & 28th Annual Miss Culver City Pageant Official Preliminary to the Miss California/Miss America Pageant Miss Los Angeles County Scholarship Organization - Is now accepting Applications - EACH CONTESTANT IS TO PAY A DONATION OF $100.00 (Non-Refundable) TO CHILDRENS MIRICLE NETWORK, A NATIONALLY SPONSORED PROGRAM BY MISS AMERICA! THE FEE OF $100.00 MUST BE PAID THROUGH CHILDRENS’ MIRACLE NETWORK WEBSITE AT www.missamerica4kids.org. PROOF OF PAYMENT MUST BE PROVIDED BEFORE YOU CAN COMPETE IN THE MISS LOS ANGELES SCHOLARSHIP PROGRAM. Miss Los Angeles County, 2014 Miss Culver City, 2014 Carly Valdes Katie Wayland (Photo Courtesy of Doug Hikawa) (Photo Courtesy of Doug Hikawa) This is an official preliminary to the Miss California/Miss America Pageant. The Miss Los Angeles and Miss Culver City competition is open to young women between the ages of 17 and 24. (If you are a Junior in High School and if you are Age 17 as of July 31, 2015, you are eligible for the Teen Competition.) You must be single, U.S. citizen, and reside in the State of California. The five phases of Competition consist of Interview, On-Stage Question, Talent, Evening Wear, and Physical Fitness/Swimsuit. APPLICATION DEADLINE IS JANUARY 31, 2015 (See reverse side for Application (Orientation will be held on Sunday January 18, 2015—Please contact us for location and time. Additional contestant information to follow) 83rd Annual Miss Los Angeles County Pageant & 28th Annual Miss Culver City Pageant Official Preliminary to the Miss California/Miss America Pageant Pageant Application Name: Date of Birth: Age: Address: City: Zip: School Attending: Class of ? Home Telephone: Work Telephone: E-Mail: How did you hear about the competition? _____________________________________________________________________________________________ Describe the talent you will perform in the Talent Competition? Please give a brief statement about yourself, your strengths, and your ambitions: Miss America contestants must be between the ages of 17 and 24 years of age, inclusive, by December 31, 2015. Seventeen year-olds MUST be a senior in high school. Entrants must be single, never been married, never given birth to child, of good moral character and as U.S. citizen. Mail application together with a 4 x 6 vertical head shot photo to: (Please DO NOT STAPLE PICTURE TO Miss Los Angeles County Scholarship Program APPLICATION) C/O Coleen and Ken Rockey 4190 LaFayette Place VISIT OUR WEB SITE AT: Culver City, CA 90232 misslosangelescountyscholarshipprogram.org Telephone: (310) 837-4793 Or, you may e-mail both to: [email protected] .

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