2009 MID-WESTERN RODEO QUEEN CONTEST APPLICATION

Queen will reign over the Mid-Western Rodeo July 3, 4, and 5, 2009
Applicant Name  _________________________________________________

Address  _______________________________________________________

City ____________________________________ Zip ___________________

Phone _______________________ Age _______  Date of Birth ____________

Parent's Names __________________________________________________

Parent's Phone ___________________________________________________

High School attending and/or year of graduation __________________________

College or Tech School attending _____________________________________

Area of studies ___________________________________________________

Hobbies  _______________________________________________________

 ______________________________________________________________

Sport Activities  __________________________________________________

 ______________________________________________________________

Please mail completed application to:

Mid-Western Rodeo

PO Box 952

Manawa, WI  54949

1-800-74RODEO

THE MID-WESTERN RODEO QUEEN CONTEST IS SPONSORED BY:
THE MANAWA LIONS CLUB
RODEO QUEEN REQUIREMENTS