| RETURN BY DEC 5TH WITH AT LEAST A $100 DEPOSIT MAIL TO BOBBIE OCONNER 8000 DULLES DRIVE RICHMOND, VA 23235 ____YES! PLEASE INCLUDE ME IN THE ACM’S MISS/MASTER CHRISTMAS PAGEANT BABY 0-18 MONTHS ___BOY ___GIRL WEE 19-35 MONTHS ___BOY ___GIRL TINY 3-5 ___BOY ___GIRL LITTLE 6-8 ___GIRL PRE-TEEN 9-11 ___GIRL JUNIOR 12-14 ___GIRL TEEN 15-17 ___GIRL MISS 18-21 ___GIRL MS 22-49 ___GIRL GOLDEN 50&UP ___GIRL MASTER 6-11 ___BOY MISTER 12-17___BOY REQUIRED CATAGOY FEES:$195.00__________ OPTIONALS:$25 EACH - FOR SUPREAME TITLE & HIGH POINT DISNEY CHRISTMAS PARADE__________ CHRISTMAS WESTERN WEAR__________ WINTER WONDERLAND_________ JUST FOR FUN COMPETIONS - $25 EACH - 2 NEEDED FOR HIGH POINT SUPREME TITLE OR MAY BE “JUST FOR FUN” PARENT/CHILD_____PHOTOGENIC_____PORTFOLIO_____CHRISTMAS SUPERMODEL_____ NAME_______________________________________________________ DOB__________ PHONE_( ) ______________ ADDRESS___________________________________________________________ |