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2003 West Coast Finals Royalty

Hair & Makeup
Kim Hulsey: khulsey@bak.rr.com  661-392-1004 
Lisa Taylor: LTAYL@AOL.COM  949.551.0349  Plus Tanning! 
Rashell Whitehead: (209)  531-2126 
Caresty Workman: carestysstars@aol.com

Name:
Age:
Spell name phonetically (for M/C) :   Birthdate:
Hair Color:
Favorite Color: 
Eye Color:
Favorite Food:
Siblings:
Favorite TV Show/Movie:
Pets:
Hobbies:
Ambition: Best Friend:
Sponsors:
Parents:
Mailing Address: 
City: State:
Zip:
Home Phone: Work Phone:
Email:

Talent/Commercial: 3.0 minute time limit. All tapes/CD’s must be cued! Be sure to bring a back-up tape for each music.

Music 1: Music 2:
Microphone (If applicable) 
  Hand Held:               Standing:     
Copy/Birth Certificate ~ Please Mark Appropriate Box:  
Enclosed with entry:    Will present at registration:      On file with Intl office

Consent to participate:I agree to hold harmless the Directors, staff and location of the Universal International pageant. Contestants, parents, and guests must abide by all rules and regulations set forth by Universal International. Good sportsmanship is a must at all times. We reserve the right to accept or reject any applicant. I realize that any infraction of the rules may result in disqualification. There are no refunds. I hereby grant Universal Miss the right to use any photograph. Videos or movies made during the competition or any other Universal International activity and allow them to use my name with any before mentioned, in any promotional efforts made in behalf of Universal International in this or any subsequent year. We reserve the right to divide, combine or cancel any division. You must provide your social security number for any cash prizes to be awarded. The judge’s decisions are final.

Signature of Parent or Guardian:
Date:


FEES
(Please note - this form does not calculate fees. Simply complete the form by entering the correct value in each of the boxes.)
All contestants MUST Pre Register! Door entries are NOT accepted at West Coast Finals! Send com pleted entry forms, registration fee, roster, cover, & centerfold photos by 3/20/04 deadline to avoid $25registration late fee!

Cover/Centerfold may be emailed in high quality scan in J PEG format or mailed. Please do not mail original photos & insure photos for full value. We are not responsible for photos lost in the mail.

 All contestants subtract any preliminary pageant or guest book drawing credits from Package A, B or C.

 Siblings: 1st sibling pays 100% of same or higher fees Sibling discounts are taken off the actual balance of package fees owed AFTER credits have been deducted from entry Packages A, B or C. The 2nd sibling in a same or lesser Package, may then deduct 50% off  package A, B, or C entry fees. *Sibling discounts do not apply to extra talent, extra model, extra photos, Tropical Dream, add on supreme,  registration fee, or guest passes.

 Pay by certified funds/money orders or may use credit cards at PayPal.com emailed to UniversalCA@aol.com. Please do not mail cash.  Sorry, no personal checks! Balance of fees is paid in cash at the pageant. Any Questions? Please contact Mary Jean -----------------------------------------------Thank you!

Mailing Address: Universal Miss & Master - California:    PO BOX 3038, Napa, CA, 94558
Director Contact: Mary Jean (707) 255-7836/(707) 255-7192 or  UNIVERSALCA@AOL.COM

MANDATORY REGISTRATION: 
Includes Contestant Registration Fee, (1) Adult All Events Chaperone Pass,  (1) Program Book,

and Family Party Pass. Entries received by registration due date or in time for judging also receive (1) Cover (head shot)

and (1) Centerfold  (3/4 or full Body) photo entries. REGISTRATION FEE:  $75 or  $100 after 3/20/04
$75.00
SELECT ONE PACKAGE:
PACKAGE A

Divisional Photogenic  PLUS CHOICE of EITHER Glamour and Divisional Beauty and Supreme Beauty or Supreme Baby OR Divisional Talent and Supreme Talent

$175.00

PACKAGE B: 

Divisional Beauty & Supreme Beauty or Supreme Baby and Glamour, Photogenic & Supreme Photogenic PLUS  CHOICE of EITHER Divisional Talent & Supreme Talent OR Divisional Model & Supreme Model

$250.00

PACKAGE C: Divisional Beauty & Supreme Beauty or Supreme Baby, Glamour, Photogenic & Supreme Photogenic, Divisional Talent & Supreme Talent, Divisional Model & Supreme Model, Baby Grand Supreme, Mini Grand Supreme, Ultimate Supreme & Grand Supreme

$350.00
ADDITIONAL FEES (If any selected)
TROPICAL DREAM - Swimsuit Optional Category! $50.00
EXTRA TALENT (1 MAX) $50.00
EXTRA MODEL (1 MAX) $50.00
EXTRA PHOTOS (3 MAX) @ $10 each $Due
ADD ON SUPREME TITLES
Check appropriate box(es)
Face of the Universe (facial beauty)
Supreme Star (beauty/talent)
Elegant Supreme (beauty/glamour/talent)*
Regal Supreme (beauty/photo)
Super Model (beauty/model)
*Novice Title - may not have won a National Supreme title with cash award of $300 or more!
$35.00ea
Guest Pass ALL EVENTS
Extra Adult: _____#  @  $
15.00 each
Children age 4-12____# @ $10.00 each
$Due
Guest Pass Swim and Crowning ONLY
Extra Adult: _____#  @  $
10.00 each
Children age 4-12____# @ $5.00 each
$Due
TOTAL ALL ENTRY FEES $Due
DISCOUNTS AND CREDITS
Note - Submit sponsor ads and ad payments no later than 3/20/04. 
50% Sibling PACKAGE Discount off entry fees - after all credits are taken $Minus
Regional Credit to West Coast: $Minus
TOTAL OF ANY CREDITS/DISCOUNTS $TOTAL
BALANCE OF TOTAL OF ALL FEES $Fees
MINUS ANY CREDITS/DISCOUNTS $Credits
BALANCE DUE AT REGISTRATION $Due
CASH ONLY at registration! No checks will be accepted - NO exceptions!

Referred By:


Email: ummica@yahoo.com

 

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