Queen Application
NAME____________________________ADDRESS_________________
PHONE___________
ALTERNATE PHONE (cell or work)_________________
SOCIAL SECURITY # ______________
PARENTS OR GUARDIANS NAME_______________________
STEP PARENTS (IF APPLICABLE)______________________
ADDRESS IF DIFFERENT FROM CANDIDATE__________________
CANDIDATES SCHOOL AND/OR OCCUPATION_________________ GRADE_____
AGE_____ DATE OF BIRTH________ PLACE OF BIRTH___________________
HOW LONG HAVE YOU RESIDED IN LOMPOC?__________________
GOALS: (PROFESSIONAL)__________________________________
SCHOOL EXTRA-CURRICULAR ACTIVITIES & ORGANIZATIONS (Sports, music, offices held, etc.)
(List activities you have participated in.)
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COMMUNITY ACTIVITIES (Church, Volunteer, awards, etc.)
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I WOULD LIKE TO BE A FLOWER FESTIVAL QUEEN CANDIDATE BECAUSE:
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PLEASE ATTACH PHOTO AND COPY OF TRANSCRIPT FROM YOUR SCHOOL
CANDIDATES, PARENTS & SPONSORS AGREEMENT
FLOWER FESTIVAL QUEEN CONTEST
ALL CANDIDATES, PARENTS/GUARDIANS AND SPONSORING ORGANIZATIONS MUST SIGN AND AGREE TO THE CANDIDATES, PARENTS, AND SPONSORS AGREEMENT. ANY CANDIDATE WHO VIOLATES ANY OF THE QUEEN CANDIDATE RULES OR ENGAGES IN ANY CONDUCT UNBECOMING A QUEEN CANDIDATE MAY BE SUSPENDED FROM THE COMPETITION. IF A CANDIDATE IS SUSPENDED OR WITHDRAWS FROM THE COMPETITION THE SPONSORING ORGANIZATION WILL NOT BE REFUNDED ANY MONIES ALREADY TURNED IN FOR THEIR CANDIDATE. ANY COMMISSIONS DUE TO THE ORGANIZATION WILL BE PAID TO THE ORGANIZATION AS INDICATED IN THE TICKET TURN IN RULES AND GUIDELINES.
WE, THE UNDERSIGNED, AGREE THAT THE QUEEN COMMITTEE MAY REQUEST RECORDS FROM THE SCHOOL/COUNSELORS CANDIDATE IS ATTENDING. WE ALSO AGREE TO HOLD HARMLESS THE LOMPOC VALLEY FESTIVAL ASSOCIATION, INC., ITS MEMBERS, MANAGERS, DIRECTORS, OFFICERS OR AGENTS, AND ALL OWNERS OR MANAGERS OF ANY GROUNDS OR LOCATIONS WHERE EVENTS MAY TAKE PLACE IN CONNECTION WITH THE FLOWER FESTIVAL AND/OR QUEEN CONTEST, FROM ANY LOSS, DAMAGE, OR INJURY RESULTING FROM OUR PARTICIPATION IN SUCH EVENTS.
______________________________________________ DATE_________________________
(CANDIDATE)
______________________________________________ DATE_________________________
(CANDIDATES PARENTS/GUARDIANS)
______________________________________________ BY___________________________
(SPONSORING ORGANIZATION TITLE)
APPROVED AS TO FORM:
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QUEEN DIVISION CHAIR
MAIL TO: 414 W. Ocean Avenue, Lompoc, CA 93436. ENCLOSE a self-addressed, stamped envelope for confirmation of acceptance.