The 2012 West Virginia Three Rivers Festival Pageant will be held in March 3, 2012. To apply, complete and print the form below, attach a recent photo and mail to the Pageant Office.

 


FIRST NAME: LAST NAME:

ADDRESS:

CITY: STATE: ZIP:

PHONE: (include area code)

COUNTY (not country):

E-MAIL ADDRESS

HEIGHT: WEIGHT: DATE OF BIRTH:

OCCUPATION AND/OR SCHOOL (INCLUDE GRADE)

MAIL, WITH A RECENT SNAPSHOT, TO:
State Pageant Office, PO Box 240, Brownsville PA 15417-0240
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