Miss Georgia Contestant
Certification Of Local Contestant
For
Miss Georgia Competition 2016
I, __________________________________________________, the local director of
the Miss ____________________________ Pageant, a local franchise of the Miss
Georgia Pageant, do hereby certify that ______________________________________
has been selected Miss ____________________________________ pursuant to the
rules and regulations promulgated by the Miss Georgia Pageant and the Miss America
Pageant. The winner’s date of birth is ____________________________________.
Signed Local Director:
________________________________________________
Witness:
________________________________________________
Date:
___________________________
Include the following information:
Title:
___________________________________________________________
Name:
___________________________________________________________
Address:
___________________________________________________________
___________________________________________________________
DUE:
ONE WEEK AFTER LOCAL PAGEANT IS HELD !!!!
FAX # (706) 322-8449