MISS   2004 BIKINI CONTEST
Fill out Application, Print and Bring to the Flora-Bama on Contest Day by 3:30 p.m.

Every Sunday

July 11 - August 29, 2004

Grand Finals
September 5, 2004

Cosponsored By

Bud Light & Beach Bouquets Florist

Over $3000 In Cash, Prizes & Vacation Get-A-Ways

First Name Last Name Nick Name
Address City State Zip Code
Phone Number () E-Mail Address 
Age  Height  Eye Color  Hair Color 
Occupation
Hobbies/ Interests

Rules and Regulations
* Must be over 21 years of age - PROPER ID REQUIRED.
* All contestants must remain/ appear in "decent" attire - any swimsuit allowed in public is acceptable.
* In order to give all contestants an equal opportunity to win, any exposure (other than that appropriate
  to  the garment worn) will be grounds for immediate disqualification.  PLEASE-NO FLASHING.
* Employees of the Flora-Bama® may participate in the contest, but are not eligible to receive prizes.
Competition Schedule::
Preliminaries: 4:30 p.m. Each Sunday                                  Finals:  6:30 p.m. Each Sunday

The undersigned, on his or her behalf and on behalf of his or her executors, administrators, heirs, and successors, hereby releases and agrees to hold Lewis Bear Company, Beach Bouquets Florist and Flora-Bama Lounge and Package and their officers, employees, and agents, harmless from any and all claims or demands by any person or party arising directly or indirectly from the injury or death of the undersigned while attending, participating in, or being transported to or from the Miss Firecracker Bikini Contest.

I have read and agree to the above-mentioned rules: ________________________________