Buckwheat Festival Royalty Application
Sponsored by Kingwood Volunteer Fire Department
*Application should be typed or handwritten neatly in black ink.
Name: _______________________________________________________________
(First Middle Last)
Age: __________
Birthday: ______________
Parents names*: _____________________________________________________________________
*please list as you would like them to appear in all festival information, program, etc.
Address: ___________________________________________________________________________
Home/parent number: __________________________
Cell phone: _________________________
GPA: ______________ *As of application deadline, participant must have a minimum of 3.0 cumulative high school GPA.
School attendance: (days absent)
9th grade: __________
10th grade: __________
Please list your plans for the future:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
*** If chosen, I will be available for all personal appearances such as parades and interviews during my senior
year. Royal Court MUST participate in the Royal Pageant or be permanently replaced by an alternate.
*** I give permission for my GPA information, school photo, and disciplinary report to be accessed by PHS
Guidance Office and the Buckwheat Festival Committee.
*** I have no prior suspensions (internally or externally) or expulsions from 9th grade to present.
SIGNED: ____________________________________________________
Date: ____________
Student signature and email address
SIGNED: ____________________________________________________
Date: ____________
Parent/guardian signature and email address
*DEADLINE FOR APPLICATION: JANUARY 13, 2016
(If this is a snow day, applications will be collected the following regular school day)
*Application must be submitted with 2 letters of recommendation and resume (3 copies each)
Revised: 11/15; 11/13 KEW