16 May
 1530 Winfield Road, Winfield, WV
  - - -
 MelandChad Fields
CITIZENS FOR COAL PAGEANT West Virginia Diamonds!! We will send our Mrs...to the WV America 2016 pay $150 toward entry fee!! DEADLINE TO ENTER IS APRIL 25th!! MAY 16, 2015 10:00 Registration Starts 11:00 A.M. Pageant starts JOHN AMOS PLANT VISITORS CENTER Teen, Miss, Ms. and Mrs. Information below!! ENTRY FEE ON/BEFORE 4/1/15 $50.00 ENTRY FEE AFTER 4/1/15 $65.00 ALL proceeds will be donated to the Citizens for Coal for the Coal Miners!! ******Sibling discounts*********** Reg fee for first child $65....$45 for second child....overalls....$20 for first child $10 for second!! BEAUTY: Girls: Sunday Best/Pageant Dress Boys: Sunday Best/Suit/Tux OUTFIT OF CHOICE: Coal Miner outfit! Anything you feel represents a Miner!! Can be off the rack or custom made! Please bring own music...if you do not we will play one from our list. NO flippers, NO fake hair. Tans are allowed...Makeup on younger contestants at parents discretion. Divisional Awards will be: Most Beautiful/Handsome, Prettiest Smile, Photogenic, and Best Dressed! (included in entry fee) Photogenic: Bring 1- 8x10 or 5x7 (only one will be judged). AGE DIVISIONS: Boys: 0-6 months/7-11 months/1-2 years/3-4 years/5-7 years Girls: 0-6 months/7-11 months/1-2 years/3-4 years/5-7 years/8-10 years/11-13 years ******Girls ages 8 and up will have an on-stage question...something about Coal/Coal Miners! This will NOT count toward/against score...just want to give them the opportunity to speak on-stage!!******** All contestants will receive a crown, sash and gift! Overalls: This will be an additional $20.00 Overall Most Beautiful and Handsome, Overall Best dressed, Overall Photogenic, Overall Prettiest Smile! Fan Favorite: $1.00 per vote. You may collect these prior to pageant and turn in at the door. Person with most votes will receive a huge crown! Awards: 1 Ultimate Grand Supreme 2 Grand Supremes 2 Mini Supremes 4 Supreme Queens 8 Queens As many princesses as needed!! Everyone receives a crown,sash and gift!! $5.00 per person door fee (except contestant) 2 and under free We will also have concessions at the pageant! Entry Form Below ______________________________________________ CITIZENS FOR COAL PAGEANT MAY 16, 2015 11:00 A.M. JOHN AMOS PLANT VISITOR CENTER Contestants Name:__________________________________________ Address:_______________________________________________________________________________________ Phone number:___________________________________ Email:__________________________________________ Age:___________________ Date of Birth:___________________ Hair color:_____________________ Eye color:_____________________ Interests/Hobbies:______________________________________________________________________________________________________________________________ School/Community Activities:_____________________________________________________________________________________________________________________________________ Why is Coal important to you? ____________________________________________________________________________________________________________________________________________________________________________________________ ENTRY FEE BEFORE 4/1 _______________$50.00 ENTRY FEE AFTER 4/1 ________________$65.00 OVERALLS:__________________$20.00 TOTAL__________________ENCLOSED PLEASE MAKE CHECKS PAYABLE TO: West Virginia Diamonds MAIL ENTRYS AND CHECKS TO: MELANIE FIELDS 1219 PRICE RIDGE ROAD RIPLEY, WV 25271 ANY QUESTIONS PLEASE CALL MELANIE 304-531-3003 TAMMY 304-687-7764 EMAIL....@[NjQyMTgzOTU5MjA4MTA3Omh0dHBcYS8vd2VzdHZpcmdpbmlhZGlhbW9uZHMuY29tLzo6:westvirginiadiamonds.com] PAYPAL...@[NjQyMTgzOTU5MjA4MTA3Omh0dHBcYS8vd2VzdHZpcmdpbmlhZGlhbW9uZHMuY29tLzo6:westvirginiadiamonds.com] Directors have the right to add/combine/or separate age groups. NO refunds unless cancelled by directors and no future event scheduled. By signing the form below you agree that Citizens for Coal, AEP, directors, judges or any person involved in the production of the Citizens for Coal pageant will not be held responsible for any personal injury, illness, lost property, damaged property, or similar cause. Parent/Guardian Signature:_______________________________________ ************(ADDED DIVISIONS Teen,Miss, Ms, Mrs )**************. Citizens for Coal West Virginia Diamonds Pageant MAY 16, 2015 John Amos Visitors Center 5:00 p.m. registration 6:00 pageant begins 14-17 .....TEEN 18-21..... MISS 21 & up (with kids NOT married) ....MS. 21 & UP .....MRS. $75.00 Entry fee Evening Gown Competition and On-Stage Question *Divisional awards will be in included in entry fee. We will have a extra title to give away!! Can be double crowned.... Congeniality!! $10 to enter this!! Please bring one photo to be judged!! Registration is at 5 pm This pageant will start at 6 P.M. We will award 2nd runner-up, 1st runner-up and Queen! Door entry fee $5.00 except contestant....2 and under free! Please make checks to WV DIAMONDS 1219 PRICE RIDGE RD RIPLEY,WV 25271 ANY QUESTIONS PLEASE CONTACT MELANIE FIELDS 304-531-3003 ----------------------------------------- --------ENTRY FORM---------- Name:________________________________ Address:_________________________________________________________________________ Phone:_________________________________ E-Mail:_______________________________ Date of Birth__________________ Age:__________ Hair color:______________________ Eye color:______________________ Hobbies:_________________________________________________________________________________________________________________________________________________________ Community Activities:________________________________________________________________________________________________________________________________________________________ School/ College__________________________________________________________________________________________________________________________________________________________ Occupation:_______________________________________________________________________________________________________________________________________________________ Please Circle your Division TEEN MISS MS. MRS. Please write down what Coal Mining/Miners mean to you! ________________________________________________________________________________________________________________________________________________________________________________________________________ ALL PROCEEDS GO TO MINERS ....Throughout the year we will do different events and fundraisers....queens are encouraged to participate!! NO refunds unless cancelled by directors and no further event scheduled. By signing the form below you agree that Citizens for Coal, WV Diamonds, AEP, directors, judges, or any person involved in the production of the Citizens for Coal WV Diamonds pageant will not be held responsible for any personal injury, illness lost property, damage property, or similar cause. Parents/Signature:________________________________

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