JUNIOR SHRIMP (11-13
years old )
TEEN SHRIMP (14-16 years old)
__________________________________________________________________
DO NOT WRITE IN THIS BOX
CONTESTANT
NAME: ____________________________________AGE: ____________
MAILING ADDRESS;
_____________________________________________________
___________________________________________________________________
EMAIL ADDRESS:
_______________________________________________________
HOME PHONE #:_______________________YOUR CELL
#:______________________
PARENTS/GUARDIAN:
___________________________________________________
PARENTS CELL #:
_______________________________________________________
DOB: ______________ HEIGHT: ______________ COLOR OF EYES:
_____________
COLOR OF HAIR:
_____________SPONSOR:__________________________________
MEDICAL PROBLEMS:
____________________________________________________
__________________________________________________________________
I
read the Delcambre Shrimp Festival Queen Agreement and understand the
terms of the contract prior to competing
______________________________________
Contestnat Signature
_______________________________________
Parent Signature
page 2 of 2