| ON-LINE STATE PAGEANT |
| Entry Deadline: December 31, 2011 Entry Fee: $100.00 (Money Orders, Cashiers Checks or Pay Pal) Made out to: Imperial Image Mailed to: Miss Route 66 Pageant P.O. Box 345, Newberry Springs, CA 92365 Age Divisions Junior ~ 10 - 12 years Teen ~ 13 - 17 years Miss ~ 18 - 24 years (single, never married or with child) MS. ~ 18 & up (single with a child, divorced, widowed, or over 24) Mrs. ~ Married up to 49 years Classic ~ (50 years and up) State Competition *Entrants from the states that Route 66 travels through (California Arizona, New Mexico, Texas, Oklahoma, Missouri, Illinois) are competing for the Miss Route 66 state title *Entrants from other states are competing for the “Miss Route 66 Spirit state title *6 Queen's (1 in each age division) per state will receive a custom Route 66 Crown & Embroidered State Sash *All other entrants are awarded Route 66 Ambassador titles & will receive a Custom Route 66 Tiara & Ribbon Sash |



| State Title Holders & Ambassadors *Upon winning the title, state Queens and Ambassadors will be given contact information for the nearest Route 66 Museum or Association *State Queens and Ambassadors are encouraged to contact the nearest Route 66 Museum or Association and see if there are any ways in which they can volunteer their services in the promotion of Route 66. They may also represent their titles at any automotive event where Cars are Stars, car shows, auto races, cruises, etc. *Queens and Ambassadors that send in a (head & shoulder) photo in their crown & sash will be posted on the website *State Queens and Ambassadors are asked to document activities participated in and submit to the director a quarterly report along with pertinent photographs (will be posted on the web site) "Applications will be evaluated and essays read during the first and second week of January. Entrants should be contacted with the results by the middle of January and hopefully crowns and sashes will be in the mail by the end of January." Highlight application below and print ON-LINE STATE PAGEANT Miss Route 66 Pageant On-Line State Application Type or Print Neatly State ________________________ Division _________________ Name ____________________________________ Phone #_________________ Address _________________________ City __________________ Zip ________ Age _______ Birth Date ______________ Birth Place ____________________ Your Family ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ School/Employment ______________________________Degrees_____________ Hair Color _________________ Eye Color ____________ Best Asset __________ Hobbies/Interests/Talents ______________________________________________ ___________________________________________________________________ ___________________________________________________________________ Previous Titles held? Y / N List _________________________________________ ___________________________________________________________________ List any Museums on or near Route 66 that you have visited __________________ ___________________________________________________________________ List any Community Service activities performed ___________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Favorite Place along Route 66 _______________________________ Why?______ ___________________________________________________________________ ___________________________________________________________________ Favorite event that celebrates Route 66____________________________________ Why?_____________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Attending US National Pageant? (August 2011) Y / N E-mail_____________________________ * On a separate paper, write and essay on what you would do to promote the history of Route 66 and how you would represent your title if you were to win. If you hold other titles, make sure you address how you would coordinate your time between titles. * Entry must include current clear (head & shoulder) photo of applicant.(Will not be returned) |