Date Received:_________ Photo Received:_______ Cont #______________

Age Divisions (you must compete as your age on Nov 17. 2017

Nov 17th (session 1) Girls 3yr, 4yr, 5yr, 6yr, 7yr Little Miss (Friday night) Nov 18th (session 2) Girls 0-11 mo, 12-23 mo, 2 years + Boys 0-18mo, 19 mo– 3, 4-7 yr, 8-11 yr Mister & Wee Miss (sat AM)

Nov 18th (session 3) Girls 8yr, 9yr, 10yr, 11yr, 12yr Pre-Teen (sat PM)

Nov 19th (session 4) Girls 13yr, 14yr, 15yr Teen (Sunday)

Nov 19th (session 5) Girls 16-17yr, 18 -19yr, 20-21yr, 22-23yr MS 24+ single with or w/o children Miss (Sun)

Mrs 22-39 married, Kentucky’s Woman 40-55 Married or single , Modern Miss 18-29 dress size 14+,

Modern Woman 30-49 dress size 14 + / We will also crown an overall Grand Mrs from the Mrs, Woman, & modern div.

Contestant Name:__________________________________________________________ Address:_________________________________________________________________ City:_____________________________ ST__________ Zip______________________ Phone:____________________________ Birthdate______________________________ Age: (on pageant day) _____________________________________________Age Division:___________________________ Email: _____________________________@_____________________.______________ Eyes:______________________________Hair__________________________________ Hobbies:_________________________________________________________________ ________________________________________________________________________ Favorite Movie____________________________________________________________ Future Ambition___________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ One interesting fact about yourself:____________________________________________ The most exciting thing to ever happen to you:___________________________________ ________________________________________________________________________________________________________________________________________________ School:_________________________________ Grade___________________________ Parents or spouse: ________________________________________________________ Sponsored By:____________________________________________________________ Festival You Are Representing________________________________________________ (the first prelim you won is the pageant you represent, judges do not know your previous placement at your preliminary ) Parent or Legal Guardian (or contestant 18+) ________________________________________________________________________________________ Date______________________________________

You must complete the above entry form in full, and submit your required deposit, and picture for the program by October 21 postmark. You must use this entry form—any submissions on separate

papers will not be accepted. Everyone will have the same opportunity to tell about themselves. We suggest keeping a copy for your records. Please write neatly or type.

In signing this entry form I understand the entire contents of this packet and agree with all rules and regulations of the pageant system. I understand there are no refunds offered of any kind. Kentucky Festival Pageants, AmeriFest LLC, Facilities Held, Judges, Staff, or other parties affiliated with Kentucky Festival Pageant Association / AmeriFest are NOT responsible for injuries during, traveling to, from, events, ass well as lost or stolen items at the pageant, hotel area, traveling to or from the event. We reserve the right to decline any advertising we see not suitable for our audience. We reserve the right to combine age divisions with 2 or less contestants. If there are less than 20 boys competing the bond may be reduced for Grand Supreme. We reserve the right to substitute any gifts or prizes for those of equal or greater value. I agree that any photos submitted or taken during the event may be used for advertising purposes on the website, print, or social media. I agree that if a Teen or Miss winner becomes pregnant during her reign , the next highest score (mini supreme) will take over. I agree that if I acquire a title that prohibits me from representing Kentucky Festivals to the fullest, my title and duties will be passed down to the next highest score/title winner. If winning Grand Supreme I am required to attend functions and the following year to crown my new predecessor. I certify all information listed is correct and accurate. I certify that my age and residence is accurate, any false statements as to residence or age will result in disqualification. Parent or Legal Guardian (or contestant 18+) ________________________________________________________________________________________ Date______________________________________

__ X___ Registration Fee $25 EVERYONE pays, includes welcome gift

Registration Fee VIP Upgrade $50 ($50 total)

Upgrade your registration fee for VIP access (optional), Admit ted into registration 30 minutes before scheduled time, wel come gift, meet & greet w/Disney princesses and 2016 Royalty * All registration fees are mandatory and can not be earned through sponsorship.

__X__ State Entry Fee $195 (Mandatory) FREE with 2 ad pages or 195 chances ! Includes Grand Supreme & ALL side awards ! (Most Beautiful/ Handsome, best dressed, prettiest hair, rising star, personality, & photogenic)

Above are the only REQUIRED categories that you must enter—all other categories are optional or

just for fun! Please note the MANDATORY registration fee for

ALL contestants choose $25 or $50 upgrade

________ Centerfold Contest $20 (full body shot)

_______ Inside Program Cover Contest $20 (Headshot)

_______ Themed Photo Contest $20 (ANY THEME or product)

________ All 3 For $50 (or earn it through ad sales free!)

Photos due by 10/21 postmark

__________ Extra Supreme Titles ( All 4—$50) Mini Supreme, Novice Supreme, Beauty Supreme, & Personality

Supreme given in each of the 6 sessions!! Boys have their own. You can also earn free through ad sales. Photo supreme will be

available @ pageant.

If Requesting Credit Card *adds 4% Name on card:_________________________________________

Email to receive secure payment link: Must complete via email.

_____________________________@_____________________

Signature to agree for invoice:______________________________

Amount to be charged $___________Texting # _______________

_____ Top Model Contest $10 (Must wear black or white in photo– Photo to be mailed by 11/1)

_____ FREE Kentucky Scholar Submit one page of all school awards or achievements, 1

winner per age group, must be included w/ entry form by 10/21 typed with contestant name and age at top. Winners qualify for nationals in July 2018.

_____ Extra Photogenic Entries $10 ea. (one photo included free, you may bring up to

6 additional photos to pageant for photogenic category. One winner per age group for this state title)

_____ FREE A.L.I.C.E. Community Service Send in a two page service

resume—give 3 min. speech at the pageant (13 & up) little miss & preteen resume only.

Admission passes (Per Day or Weekend Pass) Daily Pass :

Friday 11/17 Adult $15_____ Child $5______(6-12 yr) Total: ________

Saturday 11/18 Adult $15_____ Child $5______(6-12 yr) Total: ________

Sunday 11/17 Adult $15_____ Child $5______(6-12 yr) Total: ________

All access weekend pass:

Adult $25_____ Child $10______(6-12 yr) Total: ________

__________________________________________________________________

_____ State Program Book @ $20 _____ = $____ You must reserve them now! They are printed by reservation only. You may pay balance @ door. If you reserve the book the order can not be canceled. If you have one earned free through ads, you still need to mark it above. Separate book for each session.

_____State Pageant DVD $25 Each Session X____=$____ (Video cameras are NOT permitted into pageant ballroom/ You may pay balance @ pageant)

____State Pageant Theme T-Shirt(s) $_____ (separate T-shirt form available online to print and mail w/ forms)

Total Entering All categories both columns including passes, etc) $________ Deposits (at least half by 10/21 or all ads) $________ Balance Due @ Pageant $________ No Checks accepted after 10/21—money order or credit card only after 10/21

Total Ad Pages Sold_____ = $_____

Total Chances Sold _____ = $______ You do NOT have to pay for programs, shirts, passes, or dvd’s until the pageant.

Your deposit should consist of 1/2 of categories entered or ALL ads sold by 10/21

November 17th Friday

Session One 5:00 pm

Registration 3:00—4:45 Embassy Main Ballroom

Divisions: 3yr, 4yr, 5yr, 6yr, 7yr. Contestants compete in formal only— All competition and crowning for 3-7 Years is during this session, after crowning contestants are free to leave after photos are taken.

Division winners and Supreme Winners Crowned PLUS

Your new Little Miss Kentucky Festivals *Announcements coming about Dr Seuss Reading & Craft Hour !

November 18 th Saturday AM Session

Session Two 10:00 am Register @ 8:00 –9:45 a.m. Embassy Main Ballroom Girls Divisions 0-11 mo, 12-17 mo, 18-23 mo, 2 yr

Boys Divisions 0-18 mo, 19mo—3yr, 4-7 yr, 8-11 yr Contestants compete in formal only— All competition and crowning for 0-2 girls and ALL boys during this session, after crowning contestants are free to leave after photos. Stage is open for practice during registration only.

*Announcement coming about Dr Seuss Reading & Craft Hour *

Division winners and Supreme Winners Crowned PLUS

Your new Wee Miss & Mister Kentucky

November 18 & 19 th Session Five Saturday & Sunday

Divisions: 16—17yr, 18—19yr, 20-21, 22-23

Ms, Mrs., Kentucky’s Woman, & Modern Divisions

Registration Saturday 5:00 — 6:00 pm

Orientation Saturday 9:00 pm

Interviews Sunday 9:00 am (ALICE speech after )

Opening Number /Evening Gown Sunday 4:00 pm

Crowning to follow 7:30 pm

Registration & Interview will be in a different ballroom—specific rooms will be given after deadlines. If participating in the ALICE community service competition, will be right after interview. Evening gown & orientation will be in the main Embassy ballroom. Each girl is to bring a small gift for exchange at orientation $20 limit, in gift bag Contestants compete interview (state t-shirt & black pants or skirt), Evening Gown Competition & On Stage Question, Opening Number in any short dress of your choice. Use your choice of shoes/accessories. Division winners and Supreme Winners Crowned PLUS

Your new Miss & Mrs. Kentucky Festivals

November 18 & 19

Session Four Saturday and Sunday

Divisions: 13 years, 14 years, 15 years

Registration Saturday 10:30-11:15 am

Interviews Saturday 3:00 pm (ALICE speech this time as well)

Orientation Saturday 9:00 pm (Details TBA)

Opening Number/Evening Gown Sunday 10 am

Crowning to follow 1:00 pm Registration & Interview will be in a different ballroom—specific rooms will be given after deadlines. If participating in the ALICE community service competition, will be right after interview. Evening gown & orientation will be in the main Embassy ballroom. Each girl is to bring a small gift for exchange at orientation $20 limit, in gift bag. Contestants compete interview (state t-shirt & black pants or skirt), Evening Gown Competition & On Stage Question, Opening Number in any short party dress of your choice. Use your choice of shoes/accessories. Division winners and Supreme Winners Crowned PLUS

Your new Miss Kentucky Teen Festivals

November 18th Saturday PM Session

Session Three 4:30 pm

Registration: 3:00 –4:15 pm Patterson Ballroom

Divisions 8yr, 9yr, 10yr, 11yr, 12yr Contestants compete in formal & on stage question only— All competition and crowning for 8-12 is during this session, after crowning contestants are free to leave after photos.

* Announcement coming about Craft Hour Saturday night *

Division winners and Supreme Winners Crowned PLUS

Your new Pre-Teen Kentucky Festivals

Queen or King: One winner in each age division will win an official state trophy, tray , or cup, custom state monogrammed sash, state tote bag, custom state crown or scepter, & special toy or jewelry gift PLUS qualify for AmeriFest National’s July 2018 ! Princess or Prince AND Duchess or Duke :One winner in each age division will win an official state trophy, tray, or cup—customized sash, state tote bag, custom state crown or scepter, & special toy or jewelry gift PLUS qualify for AmeriFest National’s July 2018! Side Awards: Winners in each age division for personality, most beautiful/handsome, prettiest hair, prettiest eyes, rising star, & photogenic will win an official state trophy, plaque, or medal. Grand Supreme: One lucky winner from each session in 0-2 girls, Boys, 3-7yr, 8-12yr, 13-15yr, 16 + yr, and ( Mrs/Ms/Woman ) will win $1,000 savings bond, signature custom crown (valued over $150), Certificate towards national gown attire, Photo session & autograph cards from Cook Designer Portraits valued over $1,200, Custom jewelry, (boys and 0-2 will receive toy equivalent), supreme trophy, rhinestone scepter, rhinestone lined custom sash, velvet royalty robe, PLUS other surprise gifts and sponsorship donations, appearance opportunities , All will represent your title at various events throughout the year, Return for 2018 State finals to crown, PLUS qualify for AmeriFest US Nationals in July 2018!

Mini, Novice, Beauty, & Personality Supreme:One lucky winner from each session in 0-2 girls, Boys, 3-7yr, 8-12yr, 13-15yr, 16 + yr for each of these 4 supremes will be official STATE SUPREME royalty and win a supreme trophy , tray, or plaque- monogrammed custom sash, beautiful custom round crown, tote bag, gift certificates, gorgeous jewelry gift ( or age appropriate toy), Other sponsor gifts and certificates—PLUS qualify for the AmeriFest US National Pageant July 2018! Centerfold, Inside Cover Contest, Theme Contest: Winners in each session will appear in the program book and win a state plaque & gift PLUS qualify for nationals! Must submit by 10/21 ! Top Model: Show your style and modeling potential with any photo you choose ! You can submit up to 3 photos , due by 10/21—Winner per session will qualify for nationals and have bragging rights as Kentucky State Top Model ! Trophy or plaque also awarded on stage and winners in program book. Humanitarian Award: The person collecting the most toys, pet supplies, food pantry items, books, or stuffed animals for children in Kentucky will win a $50 savings bond, beautiful round crown, silver tray, & qualify for Nationals ! The Humanitarian slip is on the website under State Pageant link. The slips ONLY is to be brought to the pageant, filled out by the organization receiving the donations & dated—NOT the actual items to the pageant. Think local toy drives, churches, Children’s Advocacy Centers accept stuffed animals or blankets, fire departments often host toy drives as well. Kentucky festival contestants have donated hundreds of thousands of items over the years—”Its More Than Just’ ALICE Community Service Award: Cash scholarships awarded for this new service based award. Available for PreTeen, Teen and Miss / Ms/ Mrs/ Woman/ contestants and FREE to enter. Times will be given a few weeks before state for the competition. It will be with NON—panel judges that you will not be judged by any other part of the weekend. Must be in the Teen, Miss, MS or Mrs category to be eligible. Attire is a non embellished black dress with shoes & accesso-ries of your choice.. Dress may have accent colors. You must submit by deadline a resume of your community service (2 page limit) and give a 3 minute speech (no longer) in a closed room with the service award judges of what your service means to you. You may use note cards and will stand before the judges panel. The winning speech will be announced during the crowning ceremony when you will receive your cash scholarship and silver tray award. Little Miss PreTeen can enter with resume only—no speech for little miss. Resume due by 10/21. Cash scholarships are available for teen or miss & up winners only. A Life In Community service Empowers!

We ask that all contestants bring at least one new baby blanket for Hearts for Zoey childhood heart disease. They must be new. The person with the most donations per session will be our state charity supreme winner and qualify for nationals and win a supreme sash and crown ! “Its More Than Just “

Sell 2 pages = Supreme Package Free OR Sell 200 Wal-Mart chances = Supreme Pkg Free!

A fun way to earn your fees paid and lots of awesome

prizes is to sell good luck pages for the program. The pages (or ads) may be sold to family members,

Businesses or anyone who wants to sponsor you! They may be advertisings or pages to say “good luck”.

You set the ad up the way you want it to appear or the business will give you an ad–We do not accept email ads! We can use business cards, letterheads, coupons, or make ads on your computer of photo kiosks from Wal-Mart,

CVS, etc. If you have questions please email us kyfestivals@hotmail.com

This is NOT required, but a great way to earn all your fees paid & great prizes !

Selling Ads F. Y. I.

• Ads must be postmarked by 10/21 or handed in person @ Halloween pageant 10/22.

• Program Size is 8.5x11 • Ads will be printed b&w, but

you can submit color • We do not accept emailed ads • Program books are sold by

reservation only be sure to re-serve yours on your entry form

• You may ad art work, photos, or anything decorative

• What you send is exactly how it will appear in the book.

• There are no refunds given at anytime.

State Advertising Rates Full Page: $100 Half Page: $50 (takes 2 = 1 page credit)

1/4 Page: $30 (takes 4= 1 page credit)

Business Card: $20 (takes 6 = 1 page credit / we can scan for you) All ads must be paid for before they are printed. There is a 4% charge on all ads paid with credit card. You may also use check or money order when paying by 11/1.

Wal-Mart Chances You may sell raffle chances on a $100 Walmart gift card that we draw for at the pageant. Tickets are $1 each and all money goes toward your fees it’s that simple! Want to win the prizes below too—OK ! Sell 200 chances you get the gifts for 2 pages, and so on ! Bring chances to the pageant cut up and ready to turn in.

Sell 2 pages: Supreme package is free (Includes Grand & All Side Awards) Sell 3 pages: All of the above PLUS extra supreme titles & photo contests Sell 4 pages: All of the above PLUS 2 weekend passes & one program book Sell 5 pages: All of the above PLUS rhinestone tiara, state sponsor trophy, & $50 Gas Card ! Sell 6 pages: All of the above PLUS beautiful gold jewelry ! Sell 7 pages: All of the above PLUS rhinestone crown pin & 2 additional weekend passes Sell 8 pages: All of the above PLUS custom pageant teddy bear with crown (boys remote control car) Sell 9 pages: All of the above PLUS Kentucky Festivals rhinestone t-shirt & tote bag ! Sell 10 pages: Pageant Ambassador Award : Everyone who sells 10 pages will win these prizes PLUS qualify for Nationals– Supreme package FREE, extra supreme titles FREE, 4 door passes, 1 program book, rhinestone crown or boys crown, official state trophy 4 foot tall with name on it, $50 gas card, gold or silver jewelry, rhinestone crown pin and monogrammed Ambassador custom sash, $100 National pageant cash, 1 complimentary night at the Embassy Suites, photo on back cover of program, PLUS Automatically Qualify For AmeriFest US National Pageant! Your choice of one of the following—Must specify which gift on entry form or jewelry will be given. Choose Between: DVD Movie Collection, New Bicycle, Diamond accent jewelry, FitBit, Digital Camera, Michael Kors Purse, or Family Game Night Basket (This is an earned title and in no way affects any area of competition at the pageant) Circle choice and mail this in with your forms and ads by 10/21.

(You must go ahead and make your room reservations in your name , you will be reimbursed the amount of the contracted discount price + room tax only for one night at Embassy Suites Lexington. )

Ambassador Supreme Award: The person selling the most ads for the weekend will win an amazing prize package. To be considered for this award simply sell a minimum of 12 pages, have all ads and payment postmarked by 11/1.. The ONE contestant with the most ad pages/sponsor amount will win Pageant Ambassador, PLUS a certificate for dinner for 4 at the famous Malone’s Steakhouse, 8x10 photo from pageant photographer with your family, Rhinestone Bling Tote Bag, rhinestone bling pageant shirt, Custom KY Festivals crown valued at $150, Embroidered supreme sash, PLUS genuine Tiffany & Co. jewelry in the little blue box with white ribbon or you may choose a battery powered ride on toy or Michael Kors Purse instead of Tiffany jewelry! And qualify for National pageant summer of 2015 !

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Cash _______ Check #__________ Money Order____________ Credit Card _________ ( add 4% for credit cards)

For Credit Card Use (must complete via emailed secure link) Name on card_____________________________________________________________ Email to send secure pay link :______________________________________@____________________ Cell # of cardholder: _______________________________Amt charged:__________4% fee__________ Contestant sponsored: ___________________________________________________________________ Signature to authorize ad purchase _______________________________________Credit not given until invoice paid in full via email.

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

Name:______________________________________________ Address:____________________________________________ ___________________________________________________ Phone:______________________________________________

All ads will be placed in the program book, ad will be seen on pageant day only in the programs. The ads are printed in black and white but may be submitted in color. A full page ad specs is 8.5 x 11” , ads are not returned and become the property of AmeriFest LLC. What you send in as the ad is exactly how it will

appear in the program. We do not design the ads or make changes to the ads. Do NOT staple ads or send them taped down or on thick mounted board. We reserve the right to deny any ad we deem unsuitable for our pageant / family audience. Emailed ads are not accepted without prior arrangements and a paper backup sent as well. You may send a backup copy of the ads via jump drive in JPEG format only. All ads need to have a copy of this ad receipt with them.