<p> Miss Bucks County, Miss Montgomery County, and Miss Liberty Bell Scholarship Organization</p><p>Teen Contestant FACT SHEET ** All Information Must Be Typed without changing the format of the pages. ** Title Wanted:______School:______Grade: ______GPA: ______Song Title: ______Name:______Hometown:______Age:______Date of Birth:______Talent:______Special Training (music, dance, drama, etc.): Hobbies & Sports: Honors & Awards: Interesting Facts: Scholastic/Career Ambition: Why I should be the next Miss Bucks County, Miss Montgomery County, and the Miss Liberty Bell Outstanding Teen 2017: Platform (platform statement provided to judges): ______Contract: I agree to allow my daughter to participate in the Miss Bucks County, Miss Montgomery County, and the Miss Liberty Bell Outstanding Teen Scholarship Organization and the Miss Pennsylvania Outstanding Teen Pageant and Miss America’s Outstanding Teen Pageant should she be chosen a local and/or state titleholder, and to abide by the decision of the judges, which is final. I further hold the pageant, judges, hostesses, committee members, and owners of the facility where the pageant is conducted and all others involved in the production of the pageant harmless from any and all liability arising out of personal injury, property damage, or similar causes. Contestant Signature: ______Date: ______Parent Signature:______Date: ______</p><p>684 North Broad street – 2nd floor Philadelphia PA 19130 215-681-3094 [email protected] www.cegentertainmentinc.com</p>