RoseBud Pageant Application

All applications must be submitted before July 25th

Name*
First Last
Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hair color*
Eye color*
Favorite TV show/Movie*
Favorite color*
Favorite food*
Favorite saying*
Mom's name*
Dad's name*
Mom's phone*
Dad's phone*
Parent email*
Parents address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Entry information*
Enter Total Due*

Checks Payable to Jackson County Rose Festival Send Application and payment to Angela Mast at 11999 Swan View Dr. Brooklyn, MI 49230 Question call 517-748-6232 email: [email protected]
Terms Agreement/Signature*
I hereby acknowledge that I have read and understand the official rules and regulations of this competition and that I will comply with them in every way. I further understand that violation of such regulations subject me to disqualification and/or forfeiture of all scholarship awards and honors. To the best of my knowledge all personal data as herein set forth is correct.
- Parent Consent
- Applicants Consent