Pageant Application

The 5th Annual Miss Americana will be held on June 12 at 5:00 pm at Epiphany Lutheran Church. Dress rehearsal and Interviews will be on Saturday June 11 beginning at 3:00. Each contestant will be given a 2 ½ minute block of time to perform a talent of their choice. No live animals, liquids or pyrotechnics will be permitted. Only contestants are allowed on stage. Each winner and her parents are invited the Grand Marshal’s Dinner on July 3rd in addition to riding in the Americana Festival Parade and performing at the Americana Festival on July 4th. All contestants will receive awards and prizes.

MAIL FEE TO:

Please mail application to The Americana Festival, PO Box 41794, Centerville, OH 45441 with a $55.00 check payable to Americana Festival. Please call Bridgitte Hatfield (937)432-6699 or email Bridgittef@aol.com with any questions


The form below will not be fully processed/accepted until the registration fee has been received.

 

First Name*
Last Name*
Birthdate*
 
 
 
Address*
City*
State*
Zipcode*
Email*
Phone
Cell Phone*
Mother's Name
Father's Name
Who is one person you admire and why?*
If you had one wish what would it be and why?
Hobbies/Interests*
Sports/Activities*
Special Awards/Honors*
Type of Talent*
Name of Music*
Special Instructions