Birth Certificate Verified_____
YOUNG MISS PULASKI COUNTY FAIR
Full Name_________________________________________________Age___________ Address_________________________________________________________________ City_____________________________________Phone (s)_______________________ Birth Date____________________Eye Color_______________Hair Color___________ Parents’s Names__________________________________________________________ Originally from Pulaski Co?__________If not, where?____________________________ School________________________________________Grade_____________________ Favorite subject___________________________________________________________ Sports/Hobbies___________________________________________________________ Pets____________________________________________________________________ Favorite Teacher__________________________________________________________ Describe yourself in one word_______________________________________________ What do you like best about living in Pulaski Co?________________________________ ________________________________________________________________________ Interesting trips___________________________________________________________ ________________________________________________________________________ List any clubs, awards and special training in modeling, drama, music, dance, etc.______ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________