Miss Northwest Passage Confidential Information
The information contained on this sheet is confidential and for use of the 
Miss Oklahoma Scholarship Pageant & it's local authorized Local Pageants

Full Legal Name
Name  
Social Security # --
Permanent Home Address
Street
City    StateZip Code
Telephone #--
School and/or Employment Address
Street
City    StateZip Code
Work Telephone #--
Address where you can be contacted from the time school is out until your arrival in Tulsa
Street
City    StateZip Code
Telephone #--
Mother's Full Maiden Name
Name
Street
City    StateZip Code
Home Telephone #-- Work Telephone #--
Father's Full Name
Name
Street
City    StateZip Code
Home Telephone #--Work Telephone #--

If one or both parents are deceased, or if parents are separated, please indicate that information below.
Parent Information
I certify that the foregoing information is true & correct to the best of my knowledge.
_____________________________________
Contestant Signature		 _____________________________________
Parent Signature if under 18