Tillamook County Rodeo Association
Pageant Application



Name _______________________________________ Date of Birth ________________ Age _____

Address ___________________________________ City _____________________ Zip __________

Home Phone __________________ Cell Phone ________________ Email ___________________________


PARENT INFORMATION (if applicable):
Mother's Name ___________________________
Address _________________________________
City __________________ State ____ Zip ____
Phone __________________________________  		  Father's Name ___________________________
Address _________________________________
City __________________ State ____ Zip ____
Phone __________________________________

If you are interested in becoming a contestant for the 2010 Miss TCRA, please send the following information to the address below:

  • Application
  • Resume (School activities, hobbies, special honors, prior court experience, accomplishments, employment, clubs, special training, future goals, etc.)
  • Brief statement on "Why I Want to Become Miss TCRA" (50 words or less)
  • Color Photo, 5x7 (head shot. No crowns or banners)
  • Signed Liability Waiver and Contract

Pageant will be held at the Tillamook County Fairgrounds, June 25, 26 & 27th in conjunction with the 2010 Tillamook County Rodeo!

Application deadline is June 1, 2010.

PERSONAL REFERENCE: (not family member)

Name __________________________________________________________________________

Address __________________________________ State _____ Zip ________

Phone ______________________

APPLICANT SIGNATURE: ___________________________________________________________

Tillamook County Rodeo Association
Queen's Coordinator
9150 Bewley Creek Road
Tillamook, OR 97141