Petite Mademoiselle Entry Form
Please complete Entry Form and do "ONE" of the following:
1) Email form to poptotsentertainment_yahoo.com
or
2) Mail to: Pop Tots Entertainment Pageants
929 Alleghany Circle
San Dimas, Ca 91773
Beauty Pageant Entry Fee: $325
Please make c/c checks and m/o payable to:
Pop Tots Entertainment
Please circle your child's Age Division below:
Tiny Baby 6-12 months
Tiny Tot 12-24 months
Petite Miss/ Mister 2-3 yrs
Tiny Miss/Mister 4-5 yrs
Little Miss/Mister 6-7 yrs
Junior Miss/Mister 8-10 yrs
Competing Contestant Information:
Name ____________________________ Age____Girl/Boy__________
Address__________________City_____________State_____Zip______
Home Phone__________________Cell Phone_____________________
Email _______________________________________________________
Parent(s) Name
_______________________ _____________________________
Parent(s) Signature