Sr. Ms. & Elite Ms. Fair Queen Pageant: Official Entry Form SUNDAY - OCTOBER 13TH - THE ARKANSAS BUILDING - ARKANSAS STATE FAIRGROUNDS Name(Required) Age(Required)Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Division:(Required) Elite Ms. (Ages 24-34) Ms. (Ages 35-55) Sr. Ms. (Ages 56-75) Must compete as contestants age, on October 1st. There is no fall back.Address(Required) Street Address City State ZIP / Postal Code Please make sure this is correct. Your parking passes will be mailed to this address. Spouse Children / Grandchildren Profession: Education: Greatest Achievements and Leadership Accomplishments: Community Involvement: Interesting Facts: Tell us about your involvement with you local county fair:(Required) Why do you wish to become the Ms. Arkansas State Fair Queen / Sr. Ms. Arkansas State Fair Queen and how will you utilize this title to shape your life as well as enhancing other’s lives?(Required) I have read the contestant guide and understand the rules and regulations.(Required) YES Upload your photogenic entry:(Required)Max. file size: 300 MB.This headshot will be used online and on social media. Please make sure it does not include a crown. Entry Fee(Required) Price: Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name By signature below, Contestant/Parent/Guardian certifies they have read, understand, and agree to comply with the rules and regulations of this pageant and further assumes all liability and responsibility for any loss, accident or injury resulting from participation in this event. Competition information and photos may be used for publicity purposes. NO REFUNDS OR TRANSFER OF FUNDS WILL BE GIVEN/ALLOWED. The Parent/Guardian will take full responsibility for and agree to release the Arkansas State Fair Association, director, staff, and facility from all liability for any losses, damages, or debts incurred by or made by the contestant, in connection with the pageant.Signature(Required) Δ
