Lombard Park District

Lombard Park District Spring 2013 Activity Guide

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lilac queen application Sponsored by GFWC IL Lombard Junior Women's Club • $1,000 Scholarship Awarded by the Village of Lombard Preliminary Judging March 23 at 9:00 am at Sunset Knoll Recreation Center, 820 S. Finley Road. Please bring a completed application form and present in person for registration. Judging begins at 9:30 am. Judged by unbiased non-Lombard residents on: Requirements • Young women between 16-21 years of age, residents of Lombard (including Butterfield unincorporated residents) • Proof of Lombard residency required • Business/interview attire required (dress or blouse/dress slacks) {interview is approximately five minutes long} • Community and school involvement • Poise and speaking ability • Appearance If selected, you must attend events on the following dates: March 24, April 4, April 20, May 4, May 5, May 10, and May 19. 2013 Lilac Queen Contest Application Form Please submit your application during preliminary judging on March 23 at 9:00 am at Sunset Knoll Recreation Center, 820 S. Finley Road. For questions or more information, call Sue Bielenda: (630) 702-1928, Ellen Leitschuch: (630) 627-0729, or Nancy Spartz: (630) 631-3735. Name: Age: Address: City, State, Zip: Home Phone: Cell Phone: Date of Birth: School or Employer: I hearby affirm that I am a successful role model for other teens and am a character above reproach. I further understand that if selected, I must be available for the following dates: March 24, April 4, April 20, May 4, May 5, May 10, and May 19. Signature: Date: I hereby give , my daughter or ward, permission to participate in the 2013 Lilac Queen Contest. If she is selected as a princess or Queen, I agree to permit her to pose for photographers during the Lilac Time Festivities and/or related events. I further understand that if selected, participant must be available for the following dates: March 24, April 4, April 20, May 4, May 5, May 10, and May 19. Printed Name of Parent or Guardian: {spring 2013} Signature of Parent or Guardian: Date:

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