Princess Permission Form Due: Tuesday, MAY 5, 2009

Princess Permission Form Due: Tuesday, MAY 5, 2009

<p>Princess Permission Form Due: Tuesday, MAY 5, 2009</p><p>Please Print Clearly Contestant’s Name: ______Date of Birth: ______</p><p>Club Name: ______</p><p>Contestant’s Address: ______</p><p>City: ______State: ______Zip Code: ______</p><p>Contestant’s Area Code & Home Phone Number: ( )______</p><p>Contestant’s Area Code & Cell Phone Number: ( )______</p><p>Contestant’s E-mail Address: ______************************************************************************************* Contestant’s Parent or Guardian’s Signature We give permission to the (insert club/association name) ______and the Delaware River Yachtsmen’s League and their designees to use the contestants name and photograph for publicity in connection with representing the (insert club/association name) ______in the Delaware River Yachtsmen’s League Queen’s Pageant in 2009. We also agree that the above organization is not responsible for lost or damaged personal property at any given time. </p><p>______Contestant’s Signature Date </p><p>______Parent or Guardian’s Signature Date </p><p>************************************************************************ Commodore or President’s Signature We give permission to the Delaware River Yachtsmen’s League to enter our princess, representing the (insert club/association name) ______and we agree to enter and participate in the contest for Miss DRYL Queen in accordance with the rules.</p><p>______Name of Club or Association </p><p>______Print Commodore or President’s Name Signature of Commodore or President’s Name Date </p><p>Please submit completed application with $150.00 application fee that will include 1 full page in 2009 Program Book. Please Return To: Toni Nespola 6340 Militia Court, Bensalem, Pa 19020 215-741-9711 * [email protected] </p>

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