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2008 White Dove of Hope
Derby Diva/Queen Contest
Entry Form

Full Name______________________Age_______Birthdate________

Address__________________________________________________

Parents Name (Please Print)_________________________________

Home Telephone__________________

Cell Phone______________________________

School Attending__________________________Grade____________

Hobbies___________________________________________________

__________________________________________________________

Organizations involved in____________________________________

__________________________________________________________

 

Text Box: Official Use      Date ____________________		Category ___________________________    Entry Form __________    Minor Release ________			Initials __________________    Signed Copy of Rules ________