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Your photograph will appear in the souvenir program book next to your personal information. Complete the form above as you wish it to appear in print. As a contestant in the Ms. Senior District of Columbia Pageant, do hereby authorize the Ms. Senior DC Pageant Planning Committee to disclose any information furnished by me on the Ms. Senior DC Contestant Application, or other information furnished by me for use in the Ms. Senior DC Pageant, including pictures furnished by me or taken by the Ms. Senior DC Pageant, for publicity purposes in conjunction with my entry as a contestant in the Ms. Senior DC Pageant.
I UNDERSTAND THAT THIS FORM WILL BE REVIEWED BY THE PAGEANT JUDGES.
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