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From 3 to July 8, 2012
From 3 to July 8, 2012
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Which artiste would you like to see at our festival saturday night?
Cayouche
Hert Leblanc
La Famille Daraîche
Laurie Leblanc
Paul Dwayne
Scott and Gerald Delhunty
Veronique Labee

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Miss Atlantic Cow-Girl 2012

Application Form

Coordinator: Janick Cyr
Telephone: 506-235-2139
E-mail: janick_cyr@hotmail.com

Personal Information
Name : *
Family name : *
Date of birth : *
Address : *
Town : *
Province : *
Postal Code : *
E-mail : *
Telephone : *
Cell phone or other :
Emergency telephone : *
Height : *
Weight : *
Occupation : *
Known allergies :
Known medical problems :
Other pertinent information :


Picutres *
Please include 2 pictures (jpeg) for your profile data sheet.




Motivation*
Have you ever participated in this contest ? If yes, when ? *
Have you ever been involved in a gala or parade ? If yes, where, when and what ? *
Why do you wish to participate? (Brief explanation) *

*** A photographer will be available throughout the evening to take pictures of the candidates. These pictures can be used at a later date for publicity purposes.








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