Princess Permission Form
Princess Permission Form 
Due:
Tuesday, MAY 1, 2007
Please Print Clearly
Contestant’s Name: _______________________________ Date of Birth: ________________________
Club Name: _________________________
Contestant’s Address: _____________________
City: ______________________ State: _________ Zip Code: ________
Contestant’s Area Code & Home Phone Number: ( )________________
Contestant’s Area Code & Cell Phone Number: ( )________________
Contestant’s E-mail Address: _________________________
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Contestant’s Parent or Guardian’s Signature
We give permission to the (insert club/association name) __________________________ and the Delaware River Yachtsmen’s League and their designees to use the contestants name and photograph for publicity in connection with representing the (insert club/association name) ________________________ in the Delaware River Yachtsmen’s League Queen’s Pageant in 2007. We also agree that the above organization is not responsible for lost or damaged personal property at any given time.
___________________________________ ____________________
Contestant’s Signature Date
___________________________________ ____________________
Parent or Guardian’s Signature Date
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Commodore or President’s Signature
We give permission to the Delaware River Yachtsmen’s League to enter our princess, representing the (insert club/association name) _____________________ and we agree to enter and participate in the contest for Miss DRYL Queen in accordance with the rules.
________________________
Name of Club or Association
______________________________ ______________________________ _________
Print Commodore or President’s Name Signature of Commodore or President’s Name Date
Please submit completed application with $150.00 application fee that will include 1 full page in 2007 Program Book.
Please Return To: Toni Nespola
6340 Militia Court, Bensalem, Pa 19020
215-741-9711 * drylqueen@aol.com