Lombard Park District

49 LILAC QUEEN Sponsored by GFWC IL Lombard Junior Women's Club • $1,000 Scholarship Awarded by the Village of Lombard Preliminary Judging March 8 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: {interview is approximately five minutes long} • Community and school involvement • Poise and speaking ability • Appearance 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) If selected, you must attend events on the following dates: March 9, March 12, April 12, May 2, May 3, May 9, and May 18. 2014 Lilac Queen Contest Application Form Please submit your application during preliminary judging on March 8 at 9:00 am at Sunset Knoll Recreation Center, 820 S. Finley Road. For questions or more information, call Sue Bielenda: (630) 702-1928 or Terri Soehrmann: (630) 620-5028. Name: Age: Date of Birth: Address: City, State, Zip: Home Phone: Cell Phone: 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 9, March 12, April 12, May 2, May 3, May 9, and May 18. Printed Name of Signature of Parent or Guardian: Parent or Guardian: Date:

• Cover