OFFICIAL ENTRY FORM

 

MISS POLONIA PCF 2008

DATE OF BANQUET

JUNE 28, 2008 at 8:00PM

 

 

NAME:         _______________________________________   D.O.B:   ________________________

 

ADDRESS:   ___________________________________ TELEPHONE:________________________

 

                      ____________________________________

 

                      ____________________________________

 

EMAIL ADDRESS:____________________________________________________________

 

OCCUPATION:      ____________________________________________________________

 

FATHER’S NAME:____________________________________________________________

 

MOTHER’S NAME:___________________________________________________________

 

PLEASE DESCRIBE BRIEFLY:

 

HOBBIES:

 

 

 

 

GOALS:

 

 

 

 

COMMUNITY INVOLVEMENT:

 

 

 

CONTEST RULES:

       1.  Contestant must be single, of Polish extraction, between the ages of 17 and 25

       2.  Contestant is required to promote sale of tickets to the pageant and dance.

                 PLEASE SEE ADDITIONAL SHEET WITH REQUIREMENTS

                

 

Please return application no later than May 31, 2008 to the Polish Cultural Foundation,

177 Broadway, Clark, NJ 07066 or via email to : PCFBroadway@aol.com