NWR Fair Queen Application

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If you have any questions contact Cyndi Adams.  If you wish to enter please Print and Mail this form to Cyndi Adams by June 15, 2008.

Cyndi Adams
2952 State Highway 17
New Windsor, IL 61465

Phone (309) 667-2493

NEW WINDSOR FAIR AND RODEO QUEEN ENTRY FORM

Eligibility:  14 – 19 years of age by June 15, and must fulfill one of the following three requirements:
Circle one

1)   Active member of the New Windsor Presbyterian Church or the Calvary Lutheran Church in New Windsor, IL.

2)   New Windsor address or telephone number.

3)   Member of the New Windsor Drill Team.

NAME:  ___________________________________________________

ADDRESS:  _______________________________________________

PHONE:  ____________________________AGE:  ________________

BIRTHDATE:  _____________________________________________

PARENTS:  _______________________________________________

SCHOOL:  __________________________GRADE:  ______________

TALENT:  _________________________________________________

Contestant's Signature:  ____________________________________

PERSONAL INFORMATION

SCHOOL AND OTHER ACTIVITIES:
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LIKES AND DISLIKES:
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FUTURE PLANS:
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AWARDS:
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NEW WINDSOR FAIR AND RODEO QUEEN ENTRY FORM
Eligibility: 14 – 19 years of age by June 15, and must fulfill one of the following three requirements: Circle one
1)	Active member of the New Windsor Presbyterian Church or the Calvary Lutheran Church in New Windsor, IL.
2)	New Windsor address or telephone number.
3)	Member of the New Windsor Drill Team.