MISS ATLANTIC COW-GIRL - Festival Western de Saint-Quentin

The Western Festival of St-Quentin will be held July 8th to the 13th 2008

Miss Atlantic Cow-Girl 2008

Application Form

Friday July 11, 2008- 6th edition
Coordinator: Janick Cyr
Telephone: 506-235-2139
E-mail: janick_cyr@hotmail.com

Personal Information
Given 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.

I fully consent to participate in this contest and I respect and accept the rules that were communicated through this form and the application guide.

MAJOR

PRESTIGE