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MISS NSA CONTEST
If you would like to submit a candidate for the Annual Miss NSA Eastern World Series, please 
complete and return the following information to the address listed at the bottom of this page.
Miss NSA will be crowned at the OPENING CEREMONIES.

DO NOT SEND PHOTOS!  Please attach a separate page telling us why you would like to be crowned Miss NSA 2004.
Please include:  Scholastic Achievements, Athletic Achievements, Civic Involvement, etc.
Deadline for Application:  July 13, 2004

 Date Submitted: ____________

 Player Name: ______________________________________________________________

 Address: __________________________________________________________________

 City: _______________________________________ State: _________  Zip: _____________

 Home Phone: (_________) __________________________  

 Work Phone: (___________) _______________________

 Email: ____________________________________________________________________

 Team Information:

 Team Name: ______________________________________________________________

 Age Group: ________   Contact Person: __________________________________________

 Address: _____________________________________________________________________

 City: ____________________________________ State: _______  Zip: __________

 Home Phone: (_________) __________________________  

 Work Phone: (___________) _______________________

 Email: ________________________________________________________________________

   Mail Entry so it arrives prior to July 13th, 2004.     Mail To:  NSA
                                                                                        PO Box 7
                                                                                        Nicholasville, KY 40340