Queen’s Pageant Application

2018

POWAY RODEO QUEEN
POWAY RODEO JR. QUEEN
POWAY RODEO YOUNG MISS
POWAY RODEO LITTLE PRINCESS

Orientation December 14th or 21st

PAGEANT DATE FOR 2018
March 17th

Today's Date:*
Birthdate:*
Name*
First Last
Home Phone:*
Home Phone:
Cell Phone:*
Cell Phone:
Email*
Enter Email Confirm Email
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent/Guardian Names:*
Parent/Guardian Names:
Emergency Contact Name:*
Emergency Contact Name:
Emergency Contact Home/Work Phone:*
Emergency Contact Home/Work Phone:
Emergency Contact Cell Phone:*
Emergency Contact Cell Phone:
Education/School:*
Employed by:*
Activites:*
Goals:*
Achievements:*
What type of rodeo experience have you had prior to the Poway Rodeo Queens Pageant?*
Describe your style of riding and how many years of Horse Experience*
Do you own or lease a horse? Where is it stabled?*
Do you own or lease a horse? Where is it stabled?
List any non-horse related activities or hobbies*
List Community involvement*
Have you ever held a Queens Title before? If so, list where and when*
Do you have transportation to Rodeos and Events?*
What inspired you to seek the title of Poway Rodeo Little Princess / Young Miss / Jr. Queen / Queen?*
-Use additional blank page (turned in separate) if you need more space.
**All applicants are subject to background checks**
Print when filled out PRIOR to submitting and include a signed copy of this application with all other required paperwork at orientation.
Applicant's Signature and Date____________________________________
PLEASE SEND COMPLETED APPLICATION TO:
Lisa Bankhead 19233 Via Cuesta Ramona, CA 92065 [email protected]
Parent/Guardian Signature and Date:___________________________________
Parents must sign all applications unless contestant is 18 years old or older and not a dependent.
Questions: Lisa Bankhead 858.735.9190
email - [email protected]

Queen’s Pageant Application

-Use additional blank page (turned in separate) if you need more space.

**All applicants are subject to background checks**

Print when filled out PRIOR to submitting and include a signed copy of this application with all other required paperwork at orientation.

Applicant's Signature and Date____________________________________

PLEASE SEND COMPLETED APPLICATION TO:

Parent/Guardian Signature and Date:___________________________________

Questions: Lisa Bankhead 858.735.9190

All applicants are subject to background checks