YES! I want to be a Miss Indiana Princess or Pre-Teen Princess!

Please fill out the following form completely and we will contact you wth more information about Miss Indiana's Princess Programs.

First and Last Name:
Parent Name:
Parent Email:
Parent Phone:
Are you interested in Princess Camp (age 4-9) or Pre-Teen Princess Camp(age 10-12)?

Age:	*As of June 23, 2012
Date of Birth:
Grade Level:	*In 2011-2012 School Year
Name of School: