LITTLE MISS BEAUTIFUL BUTTERFLY
Introduction
Little Miss Beautiful Butterfly is a new event by Beautiful Butterflies,
Incorporated, which emphasizes talent,
pageantry, unity, awareness and builds self-esteem.
Purpose
 To support Duke Pediatric Rheumatology Department (children/youth with
lupus and other invisible illnesses)
 To enhance other projects taken on by Beautiful Butterflies Inc.
 To support a general scholarship fund
Benefits
Young ladies participating in Little Miss Beautiful Butterfly will:
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Develop skills in group dynamics
Participate in cultural, social, and educational activities
Develop leadership skills
Exhibit poise and good character
Build friendships
Have an awareness of HOPE
Activities
Each participant will take part in a series of activities that will include the
following topic:
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Etiquette/Fashion/Makeup
Self-Esteem
Health Issues
Leadership/Communication Skills
Little Miss Beautiful Butterfly Eligibility Requirements
1. Be a female - Ages 5-12
2. Have at least a “C” average - Must verify with current report card.
3. Have NO CHILDREN
4. Exhibit good character
5. Display no tattoos, or other body piercing
6. Be active in school and community activities
7. Sign along with parent(s) or legal guardian, the Agreement/Liability Release
Form
8. Wear required formal attire for the sponsored events. These will be discussed
at the meeting once all entrants have been approved.
9. Attend a minimum of 85% of the related functions and activities held. If you
are unable to attend at least
85% of activities held, you may not be allowed to participate in the event.
Activities, events, and rehearsals will generally be held on Saturdays. There may
also be assignments that contestants will be expected to complete on their
own.
10. Pay a non-refundable fee of $100 by December 14, 2015 which may be
obtained through fundraising activities. The fee will count in your total.
11. Must provide transportation to and from all activities.
12. Must report all funds solicited in the name Beautiful Butterflies Inc.
13. Must keep all fundraising activities in good taste and be representative of
Beautiful Butterflies Inc.
Dance Presentation:
All Contestants are required to participate in a group presentation,
choreographed by CA Cheer and Dance, INC., owners Anitra Goode and Claudja
Dwight.
--Each contestant must be between the ages of 5-12 years old.
--Each contestant must raise money
Each Contestant Will Receive:
 Little Miss Beautiful Butterfly participant t-shirt
 Certificate of participation
 Two (2) Luncheon tickets
Prize(s) will be awarded as follows:
Winner will receive:
20% of total funds raised by contestant
Engraved Trophy
Flowers
Sash
Crown
*First Runner-Up will receive:
15% of total funds raised by contestant
Flowers
Engraved Trophy
Crown
Tentative schedule of events:
October 29, 2015
Pageant announced/applications posted
November 14, 2015
Contestant Interest Meeting
December 14, 2015
Application Deadline
January 9, 2016
Workshop #1
January TBD
Workshop #2 (workout with Mrs. Black NC)
February 2016
Workshop #3
March 2016
Workshop #4
March 25, 2016
Dress Rehearsal
March 26, 2016
Lupus Awareness Luncheon/Little Miss Beautiful Butterfly Pageant
Dance rehearsals with CA CHEER and DANCE: (Little Miss only)
TBD
PERSONAL INFORMATION
Name:
____________________________________________________
First
Middle
Last
Address:
___________________________________________________
Street
City/State
Zip Code
Home Phone:__________________ Cell Phone: ____________
Date of Birth: ________________(mm/dd/year)
Email: _____________________________________________
Name of Parent/Guardian:
____________________________________________________
Address:
_________________________________________________________________
___________
(if different from above)
Home Phone:_________________________________________ Cell Phone:
______________________
Applicant Email
Address:__________________________________________________________
______
Parent Email Address:
_________________________________________________________________
_
Do you have any physical disabilities that will require special attention if
selected? Yes/No
If yes, what accommodations are necessary:
_______________________________________________
My signature below indicates that I provided truthful and complete information
in this application and I
understand that I might be contacted if there are questions or concerns about
my application packet.
Application Signature ________________________________________
Date_____________________
My signature below indicates that I provided truthful and complete information
in this application and I
understand that I might be contacted if there are questions or concerns about
my application packet.
Application Signature ________________________________________
Date_____________________
All materials are to be returned in one package by the specified due date.
A late packet will not be considered.
LITTLE MISS BEAUTIFUL BUTTERFLY PAGEANT OFFICIAL
APPLICANT’S AGREEMENT
I,
Little Miss Beautiful Butterfly, of Beautiful Butterflies Inc.
, hereby apply as a contestant in the
Date of Birth
I CERTIFY to the Miss Beautiful Butterfly Pageant Committee that I am enrolled in an elementary
school. My age will not exceed 12 years prior to the L i t t l e Miss Beautiful Butterfly Pageant in
March 2016.
I CERTIFY that I am of good character and in good health.
I understand that, if I am elected “Little Miss Beautiful Butterfly,” the title belongs to the L i t t l e
Miss Beautiful Butterflies Pageant and Beautiful Butterflies Inc., and is only holding the title until
the next Little Miss Beautiful Butterfly winner is coroneted. I understand that during the year of
my reign, if I am elected Little Miss Beautiful Butterfly, that I cannot endorse, make appearances,
advertise, or take photographs with or for any products, institutions, organizations or persons,
on behalf of Little Miss Beautiful Butterfly Pageant, without written permission from the L i t t l e
Miss Beautiful Butterfly Pageant Coordinator and Beautiful Butterflies, Inc.
I hereby give permission to the Little Miss Beautiful Butterfly Pageant Committee to use
my photographs, voice and service grants in connection with the Pageant, including
any subsequent recorded or timed excerpts of the pageant for public relations
purposes.
I hereby release the Little Miss Beautiful Butterfly Pageant and B e a u t i f u l B u t t e r f l i e s Inc.,
from any and all claims for damages and/or injuries that may be sustained while participating in
any activity of the pageant or during any reign as Little Miss Beautiful Butterfly.
Applicant Signature
(Page 1 of 2)
Date
(Page 1 of 2)
Pageant Coordinator Signature
(Page 1 of 2)
Date
(Page 1 of 2)
P a g e a n t c o m m i t t e e m e m b e r Signature
(Page 1 of 2)
Date
(Page 1 of 2)
LITTLE MISS BEAUTIFUL BUTTERFLY PAGEANT OFFICIAL
APPLICANT’S AGREEMENT
I understand that Beautiful Butterflies, Inc. or any board members are not responsible for any
materials necessary for my role in the Little Miss Beautiful Butterfly Pageant.
I agree that any conduct on my part, at any time, which in the eyes of the L i t t l e Miss Beautiful
Butterfly Pageant Coordinator will discredit the good image of the pageant or B e a u t i f u l
B u t t e r f l i e s I n c . , Inc., shall result in my immediate dismissal from all Pageant activities, and
forfeiture/refund of all rights, titles, privileges and financial contributions connected thereto.
I understand that when I affix my signature to this Official Applicant’s Agreement, I am
committed to abide by all the guidelines and criteria of the Little Miss Beautiful Butterfly
Pageant official rules, regulations and requirements.
I understand that at any time I am found in violation of one or more of the official rules,
regulations and/or requirements, I am subject to be dismissed from all pageant activities and
forfeiture/refund of all rights, titles, privileges, financial contributions connected thereto.
I understand that I am obligated to participate in all events, activities and/or practices leading up
to the time of the pageant to ensure its success on my behalf, as long as a two- weeks’ notice is
given. At any time, without a legitimate excuse, I may be dismissed as a contestant.
I also understand that any unforeseen/uncontrollable events, situations and/or circumstances may
occur, Beautiful Butterflies Inc. will act according to the best possible solution in which it deems.
I CERTIFY that I have read, understand, agree and meet the requirements of all the above
stipulations and have made all the statements in this Official Applicant’s Agreement.
Applicant Signature
(Page 2 of 2)
Date
(Page 2 of 2)
Pageant Coordinator Signature
(Page 2 of 2)
Date
(Page 2 of 2)
P a g e a n t C o m m i t t e e m e m b e r Signature
(Page 2 of 2)
Date
(Page 2 of 2)
SOUVENIR JOURNAL
ADVERTISING CONTRACT
Organization/Individual Name
Contact Name
Address
City
Phone:
E-mail
State
Zip Code
Contestant Name:
SIZE
PRICE
Full Page
$100
Half Page
$60
Quarter Page
$35
Business Card
$25
Patron Recognition
$15
CHECK
SELECTION
IMPORTANT:
JPG or PDF ads should be forwarded electronically to kbnapper@gmail.com
Money orders, certified checks only (no personal checks)
Please return this contract and JPG or PDF ads, along with payment to Beautiful Butterflies
to:
Beautiful Butterflies Inc.
Attn: Pageant Ads
P.O. Box 164
Sedalia, NC 27342