Contestants Name    

Age     Email Address    

Street Address

City State   Zip

Glitz Entries:
1st Photo $15

Extra Photos $5 ea

Unlimited Glitz $25

Natural Entries
1st Photo $15

Extra Photos $5 ea

Unlimited Natural $25

Unlimited (Glitz AND Natural) $40

# of Photos      Total

I will Submit Payment through:
Paypal
   or   Money Order

Paypal address

 By Signing this entry form, I understand that all decisions are final and I am giving permission for my child's photo to be used for advertising related to this contest.

Signature     Date