2011 Miss He Sapa Win Princess application by nL358Lo

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									                                     Miss He Sapa Win
                               2011 Black Hills Pow Wow
                                   Princess Application

Name:__________________________________Phone:________________

Indian Name:__________________________________________________

Address:______________________________________________________

City:_________________________________ State:______Zip:__________

Age:_______ Birth date:________

Tribal Affiliation:__________________________ Enrollment No.________

Parents:_______________________________________________________

Grandparents:__________________________________________________

I hereby sign to compete as Princess as Miss He Sapa Win for the Black Hills Pow Wow.
I have read and understand the qualifications, responsibilities and procedures of the rules and
regulations as a contestant.

I agree to discontinue competing for princess if I do not comply with the rules and regulations or
fail to comply with my obligations throughout my reign as princess.


Signature of Contestant:______________________________________ Date:_________

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