Queen Contest Information

Please Read Rules & GuidelinesDSC 3667

"Print" & "Complete" Application & Waiver 

Mail With $30.00 Entry Fee by July 1st, 2017

**  Forms Can Be Printed by scrolling to the bottom of the page and click on the "Print" Icon **

 Corn Palace Stampede Queen Contest

Application

Name: _______________________________ Parent’s Name: _____________________________

Address: ______________________________________________________________________

Phone Number: _________________________________________________________________

Email Address: _________________________________________________________________

Date of Birth: __________________________________________________ Age: ___________

School: ________________________________________________ Grade: _________________

School Activities: ________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Horse & Rodeo Activities: ______________________________________________

______________________________________________________________________________

______________________________________________________________________________

Write a paragraph about the horse you will be riding: ____________________________

______________________________________________________________________________

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