LEDGER HOUSE ACCOUNT

2022 Box Butte County
Fair Queen Contest Entry Form
“ROLLING THROUGH IN ‘22”
Contestants must be between the ages of 16-20 (see official rules).
Please include entry form, four (4) resumes, four (4) billfold (2½ X 3½) black and white
photos (head and shoulders only, no full body) and $50.00 sponsorship entry fee with
this application form. Deliver personally to Barbie Applegarth at 217 East 3rd Street, Alliance, which is
Nebraska Total Office. Barbie’s contact number is 308-760-0709. Entry deadline is 5:00 p.m. Friday, July
15th, 2022. Contest is limited to the first 12 contestants.
Please print or type
Name_____________________________________ Age as of August 10, 2022_____________________________
Address__________________________________________City____________________________________________
Phone Number____________________________________________________________________________________
Parents___________________________________________City____________________________________________
“Uniquely You” Talent/Hobby: Tell the audience something that makes you unique!
You can perform if you would like, but you do not need to. This must not exceed 2 minutes!!!
________________________________________________________________________________________________
Sponsor_________________________________________________________________________________________
With this signature, I agree to abide by the rules and regulations
Contestant’s
Signature________________________________________________________________________________________
Parent/Guardian’s
Signature________________________________________________________________________________________
For additional information contact:
Barbie Applegarth 308-760-0709
or Ellie Walls 308-760-7741