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MS. BPCC PAGEANT OFFICIAL ENTRY FORM
Full Name:__________________________________________________________________________
Campus ID#:________________________ DOB:________________________ Age:_____________
Address:___________________________________________________________________________
City State Zip
Telephone: (home)___________________ (work)___________________ (cell)__________________
Parents and/or Spouse:________________________________________________________________
High School:__________________________________ High School Graduation Year: _____________
Major at BPCC:____________________________________ # of semesters at BPCC:_____________
Future Education Plans:______________________________________________________________
Career Goal:_________________________________________________________________________
BPCC Organizations:__________________________________________________________________
Extracurricular Involvement:_____________________________________________________________
Hobbies:____________________________________________________________________________
Special Awards/Recognitions:___________________________________________________________
___________________________________________ ___________________________
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MS. BPCC PAGEANT OFFICIAL ENTRY FORM RELEASE
READ THE STATEMENT BELOW AND SIGN.
I understand that entry in the Ms. Bossier Parish Community College Pageant will require my
participation in all activities associated with the pageant, which includes my obligations and
responsibilities in the event I win the title of Ms. BPCC, 1st Runner-up or Ms. Congeniality.
I further state that the personal information given above is true and correct; and, it may be used for
introductory remarks at the Ms. BPCC Pageant. I give my permission to the pageant coordinators to
verify my grade point average. Falsification of information may result in my disqualification.
I agree to release Bossier Parish Community College and the pageant coordinators from liabilities due
to theft, accident or injury while participating in any activity associated with the pageant. I understand
and accept these rules and will conduct myself with good sportsmanship. I also understand and agree
that the judges’ decisions are FINAL.
Signature of Contestant Date
Sponsored by:_______________________________________________________________________
(Student organization, academic department/division, or faculty/staff member)
Signature of Sponsor Date
All dates and deadlines associated with the pageant MUST be honored.
Failure to adhere to these rules WILL result in a contestant’s disqualification.
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