2012 State Pageant
Saturday, November 3, 2012
Country Cascades Grande Ballroom
204 Sharon Drive, Pigeon Forge, Tennessee 37863
Hi-point winner will receive $300 cash, trophy, crown, and sash! Winners in each age division receive trophy,
crown, and sash!
Entry Fee- $150 Formal Wear and Casual Wear (all ages) Spokesmodel (ages 5 and up)
Check your AGE as of August 1, 2012
Infant 0 to 11 months Preteen- 11 to 12
Baby Miss 12 to 24 months Junior Miss 13 to 15
Mini Miss 2 to 4 Senior Miss 16 to 18
Tiny Miss 5 to 7 Miss 19 to 25
Little Miss 8 to 10
You can also Enter to win four more categories for an additional fee. Hi-point winner must
compete in ALL categories EXCEPT Talent Division.
$25 Fashion Runway Model $25 Supreme Spokesmodel $25 Talent Division
$35 Photogenic Print Model (email your photo with name and age division to
email@example.com) Winners will be featured on front and back covers of program!
ENTRY FEES________ Optional Categories___________ TOTAL ENCLOSED _________
Official Entry Form
Mail entry form and TOTAL PAYMENT (payable to Dani Prevette, Director) by October 16
to PO Box 7605, Kingsport, TN 37664. Visit www.eliteproduxions.biz or phone 423-863-6051 with questions.
Name: Age as of Aug.1, 2012: Birth Date:
Address: Apartment Number: City:
State: Zip Code: Home Phone: Cell Phone
Email: Parent’s name: Name of School:
Signature of Contestant/ Date Signature of Parent/ Date