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TIOGA COUNTY FAIR QUEEN CONTEST
APPLICATION FORM - DEADLINE: postmarked no later than July 21, 2017

Name____________________________________________________

Address__________________________________________________

City_____________________________________________________

State_____  Zip Code______________________

Phone__________________________________

Birthday: 
Month _____   Day _____  Year _____  Age_____

Parent's Names____________________________________________

If Queen becomes pregnant at any time during her reign, she will immediately relinquish her title.

Contestant's Signature_______________________________________

Parent's Signature __________________________________________

PLEASE ENCLOSE RECENT PHOTO AND YOUR
WRITTEN ESSAY OF 300 WORDS OR LESS

Mail application to:
Courtney Smith
71 Grinnell Lane
Liberty, PA 16930

 

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