VIEWS: 16 PAGES: 5 POSTED ON: 7/13/2011
2012 Miss NPRA Application Miss NPRA represents the Northwest Professional Rodeo Association throughout the Northwest, appearing in rodeos, parades, civic events, and other promotional activities. Please see Miss NPRA Pageant Rules and Regulations for complete information. If you are interested in being a contestant for 2012 Miss NPRA, please send the following, in both hard copy and digital format, to: Jean McPherson, 5577 SW McVey, Redmond, OR 97325. • application • resume (school activities, employment, prior experience, special honors, etc.) • statement of why you want to be 2012 Miss NPRA (50 words or less) • bio (175 words or less) • 5x7 photo of contestant (vertical color head shot, no crown) • 4x6 photo of contestant and horse (vertical shot, no crown) • pageant / ad fee ($450 non-refundable pageant / ad fee) • list of sponsors (list of people & businesses that sponsored pageant/ad fee) Application and pageant fee are due by August 31, 2011. Speech requirements, horsemanship pattern, and pageant schedule will be mailed upon receipt of application. Complete pageant rules and contract are available at www. nwprorodeo.com. Signed contract must be returned prior to or at the pageant. The pageant will be held in conjunction with the NPRA Finals in Prineville, Oregon. Pageant will run September 22-25. The new titleholder’s reign will officially begin January 1, 201s. The pageant will include personal interview, horsemanship interview, written rodeo knowledge test, modeling, speech, mock TV interview, horsemanship, and rodeo arena run. For more information, please call Jean McPherson at 503-481-3384 or email email@example.com. 2012 Miss NPRA Application Name of Applicant: _____________________________________________________ Age: _____ Date of Birth: __________ Email: ________________________________ Home Phone: ______________________ Cell Phone: _________________________ Address: _____________________________________________________________ Name of Parent(s): _____________________________________________________ Home Phone: _______________________ Cell Phone: ________________________ Address: _____________________________________________________________ Parents’ Email: _________________________________________________________ Facebook and/or Myspace URL: ___________________________________________ Horse’s Name and Breed: ________________________________________________ Current and Past Titles or Related Experience (use separate sheets if necessary): _____________________________________________________________________ Hometown Newspaper: __________________________________________________ Please attach resume, bio, and statement. Hold Harmless: By my signature, I hereby release the NPRA and/or their agents from any responsibility for loss, injury, accident, theft, or damage to persons, horse, or property. I enter this pageant at my own risk and am subject to the pageant’s rules, both written and verbal. ___________________________ _______ Signature of Applicant Date ___________________________ _______ Signature of Parent Date (if applicant under age 18) Miss NPRA Pageant Photographer Release Form Permission to Use Copyright Print (s): Person (s) in Photograph__________________________ Photographer___________________________________ Business Address of Photographer_______________________________ _______________________________ Telephone__________________ As the photographer and copyright owner of the print (s), I grant permission for my print(s) to be used in the NPRA Finals Program and for pageant publicity purposes. The print(s) will not be used for any purpose beyond those stated by Miss NPRA Pageant. ___________________________ ________________ Signature of Photographer Date ___________________________ Print Miss NPRA Pageant, Inc. Waiver Form By my signature on this application, I hereby certify that I have read and completely understand the accompanying Official Rules and Regulations of the Miss NPRA Pageant and I have also read and understand the accompanying Miss NPRA Contract that I acknowledge the rules and regulations, as well as, the Miss NPRA Contract to apply to myself at all times during my competition in the Miss NPRA Pageant, it’s programs, activities and functions; that said rules and regulations pertain to all persons related to my appearance in the Pageant; and that the Miss NPRA Committee will rely upon my execution hereof and all terms and conditions set forth herein, in permitting my appearance and participation in the Miss NPRA Pageant. By the execution hereof, I hereby RELEASE and HOLD the Miss NPRA Pageant Committee, the Miss NPRA Director, and the NPRA Board of Directors, accredited sponsors both commercial and private, employees, agents, members and/or representatives of each, HARMLESS from any and all rights, claims and actions, direct or indirect, fixed or contingent, of whatsoever kind or character, as shall now exist and hereafter arise from, and be the result of, my actions, or persons related to, my appearance or participation in the Miss NPRA Pageant, its programs, activities or functions. The undersigned does acknowledge that they are familiar with equestrian and rodeo sports and activities and that the same are inherently dangerous to herself and those related to her participation therein. The undersigned further acknowledges that the Miss NPRA Pageant cannot and does not guarantee the safety or well being of any participant does not guarantee against harm to the participant, does not guarantee the conduct of any participant other than the undersigned. The undersigned acknowledges that they are responsible for their own insurance, that this release and indemnification is executed without specific knowledge of existing or future rights, claims, or actions, but executes the same notwithstanding such lack of knowledge, the risk thereof being known by, and assumed by, the undersigned and found to be reasonable for her assumption. By the execution hereof, the undersigned does: 1. Grant permission to the Miss NPRA Pageant to verify any and all information contained herein by and through information held by persons other than the undersigned and shall execute and deliver to the above named entities such documents as are required to obtain any and all information reasonably necessary to verify any and all such information, 2. Certify the participant to be the appropriate age as evidenced by the Certificate of Birth or other certifiable proof of age attached. The undersigned does agree that (a) the foregoing certifications and agreements are continuing in nature, (b) upon failure of any certification or authorization set forth above, and (c) if the undersigned shall fail to provide notice of the change in any of the above certifications and authorizations during her participation in the Miss NPRA Pageant, she will automatically and without notice be disqualified from further participation in the Miss NPRA Pageant, and does hereby agree to indemnify and hold the Miss NPRA Pageant Committee, the Miss NPRA Director, and the NPRA Board of Directors, together with the officers, directors, accredited sponsors both commercial and private, employees, agents, members or representatives of each, harmless as against all rights, claims and actions arising by reason thereof. Applicant agrees and stipulates that disqualification from participation in the Miss NPRA Pageant either before or after the competition will result in damages to the NPRA. In this regard, applicant agrees to pay the Miss NPRA Pageant a sum equal to all monies and consideration received as the result of applicant’s participation in the Miss NPRA Pageant, the same being declared liquidated damages as between the parties. In the event the undersigned shall receive the title of Miss NPRA, she agrees to complete the tenure of title in accordance with the Miss NPRA rules and regulations; shall at all times act in the best interest of and to promote the NPRA; make such public appearances as shall be designated by the Miss NPRA Director, without compensation for time and/or service; and shall relinquish and deliver to the Miss NPRA Director, all claims and accouterments (crown, banner, etc.) as shall relate to the title of Miss NPRA, all upon the naming of a successor to such title. This agreement shall be binding upon all heirs, assigns, successors, trustees, receivers, legally appointed guardians, administrators, executors and personal representatives of the Miss NPRA Pageant and the undersigned. This is a legal instrument for which an attorney and accountant should be consulted. The undersigned do affix their signatures hereto without reserve. ________________________________ ________________________________ (Contestant’s Signature) (Parent or legal guardian) ________________________________ ________________________________ (Address) (Address) ________________________________ ________________________________ (City, State & Zip Code) (City, State & Zip Code) State of _________________________ County of _______________________ Subscribed and sworn to before me on this the day of ___________ , 20__ , by: ________________________________ ________________________________ (Contestant) (Legal Guardian) My Commission Expires: _________ Notary: _________________________
"2011 Miss NPRA"