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SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org



Dear Student

Thank you for your interest in the Spokane Lilac Festival and its Royalty Scholarship program.

In order to be eligible, you must attend one of our informational meetings with a parent or legal
guardian. These meetings are an important opportunity for you to hear all about the Royalty program.
You’ll hear how the Royalty program is a wonderful, life changing experience, yet more importantly, just
as any activity; it is also very time consuming.

If upon attending the meeting, you determine the Spokane Lilac Festival Royalty Program is for you,
you’ll first need to touch base with your school advisor and then complete this ENTIRE candidate
application and agreement. Your completed application will include the following things:


     One-page letter of intent (why do you want to be involved and what do you hope to gain?)

     Fully executed (TYPED) Candidate Agreement (which includes the Bio form)

     Wallet-sized face shot, color picture

     Photo Release

     Medical Release

     Two Letters of Recommendation

     Copy of current grade transcript (obtain through your counselor)

Once prepared, these items will need to be submitted as a package. Your school advisor has been
instructed to provide us with complete packages only. All applications are due at the Spokane Lilac
Festival Office no later than 3:30 p.m. on November 6, 2009.

Once again, thank you for your interest. Good luck! And no matter what, don’t forget to have fun during
this selection process. We are looking forward to getting to know you.

Sincerely,



Elisabeth Hooker, Spokane Lilac Festival
Vice President of Royalty 2009-2010
ehooker@SpokaneLilacFestival.org
(509) 998-4145




© 2008. Spokane Lilac Festival.                                                   Royalty Candidate Agreement
SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org



                                     ROYALTY SELECTION CRITERIA


Thank you for your interest in the Spokane Lilac Festival and its Royal Court. Following is all the information
you’ll need to know.

    •    The Lilac Festival Royal Court will be comprised of six princesses and one queen.

    •    Candidates will be selected as Lilac Royalty from Spokane County schools, one candidate per school.

    •    Candidates must be residents of Spokane County.

    •    Candidates must be full-time female students and members of the senior class, scheduled and on track
         to graduate with their class.

    •    Candidates will have an overall GPA of 3.0 (based on a 4.0 system) or greater for six semesters of high
         school and a commendable attendance and citizenship record.

    •    Candidates must be free of any visible body art including tattoos or excessive piercing.

    •    Candidates must be single, having never been married, divorced, had a marriage annulled or have had a
         child. If selected, they must agree to remain single and childless through the Lilac year.

    •    Candidates should be active in community, civic and school activities and service.

    •    Candidates must be aware that Festival Activities are a priority and that festival week in May is a full-
         time commitment.

    •    Although a queen is selected, all members of the Royal Court will be actively involved in most scheduled
         events.

    •    Candidates must be aware that Lilac Festival activities continue through the summer and Royalty
         participation is required when scheduled.




© 2008. Spokane Lilac Festival.                                                              Royalty Candidate Agreement
SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org


                                        CANDIDATE’S AGREEMENT

    1. I am a full-time high school female student, currently residing within Spokane County and will continue
          to reside in these boundaries until graduation. I have an accumulated grade point average of at least 3.0
          based on a 4.0 system.
    2.    I have a proven record of good citizenship and attendance.
    3.    I will be graduating with my senior class.
    4.    I have never been married, divorced, or had a marriage annulled, and agree not to marry until my duties
          with the Lilac Festival are met.
    5.    I have never been pregnant or had a child.
    6.    I have never been convicted of a crime.
    7.    I do not have and visible body tattoos or excessive piercings.
    8.    I do not hold another crown or title and I agree not to enter any other royalty contests or pageants
          until after Coronation Night, if chosen as a member of the Festival Royalty.
    9.    I will refrain from possessing, selling or any personal involvement with alcohol, any controlled substance,
          or non-prescription mind, personality, or mood altering substance from the time I sign this document
          through my tenure as royalty.
    10.   I will not use or possess tobacco products while representing Spokane Lilac Festival Association.
    11.   I promise that I will be on time and available for all scheduled events. I am aware that the Spokane Lilac
          Festival will schedule appearances during school hours, evenings, weekends, and during the summer. I
          am able and willing to carry out the duties and responsibilities as a Royalty Candidate.
    12.   I realize that the Festival Chaperones and Festival Directors are responsible for my care and protection.
          I understand they will contact my parents if I do not arrive at a designated event at the appointed time.
    13.   I understand the Festival does not provide transportation to events.
    14.   I understand that I may be disqualified from the Lilac Festival Team and Royalty Court competition if I
          fail at any time to conform to the terms of this Candidate’s Agreement, or state anything in this
          agreement, or Bio Form that is misleading or not true.
    15.   I acknowledge that the Festival reserves the right to conduct the Royalty Selection Process according to
          the procedures now in effect, or as may be amended by the Festival’s Board of Directors. I acknowledge
          that the Festival selects or approves all clothing that must be worn by Festival Royalty for Lilac-
          sanctioned events. I agree that by my participation in the Royalty Selection Process, I waive any right to
          contest any aspect of the judging or Royalty Selection Process.

I HAVE READ, UNDERSTAND AND AGREE TO EACH OF THE SECTIONS OF THIS CANDIDATE’S
AGREEMENT AND VOLUNTARILY PLACE MY SIGNATURE BELOW:

____________________________                                   _________________________________
Candidate’s Name (please print)                                Candidate’s Signature

______________________________                         _________________________________
Date                                                         Parent/Guardian Signature

______________________________                         __________________________________
School attending                                       School Advisor Signature

This form must be received at the Festival Office, 3021 S. Regal, Suite 105 by 3:30 pm on November 6, 2009.



© 2008. Spokane Lilac Festival.                                                             Royalty Candidate Agreement
SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org


                                              CANDIDATE BIO FORM
                      Type only. No handwritten information sheets accepted. Two pages, one-sided, only



NAME: ____________________________________________________________________________
SCHOOL:__________________________________________________________________________
HOME ADDRESS (please include zip code): ______________________________________________
HOME TELEPHONE # :_____________________ CELL PHONE #: __________________________
E-MAIL ADDRESS: ________________________________________________________________
BIRTH DATE: _______________________
PARENTS’ NAMES: _________________________________________________________________
DAD HOME TELEPHONE # : ____________________ CELL PHONE #: ________________________
MOM HOME TELEPHONE # : ____________________ CELL PHONE #: ________________________
PARENTS’EMPLOYERS: Dad ________________________Mom ____________________________
PARENTS’ E-MAIL ADDRESS ________________________________________________________
NAMES/AGES OF BROTHERS & SISTERS:
________________________________________________________________________________
________________________________________________________________________________
Please list CURRENT activities in which you are involved:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
What are your plans after graduation?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Accumulative High School Grade Point Average (GPA) ______________________




© 2008. Spokane Lilac Festival.                                                                 Royalty Candidate Agreement
SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org


                                          CANDIDATE BIO FORM

Please list school honor classes, above the general requirements, from grade 9 – 12:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________


Please list any outside work experience (jobs) with dates – grades 9 – 12:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Additional information (volunteer experience, travel, special awards, etc.) that you’d like to include:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________


I certify that the information provided in this two page form is true and correct, and is in no way misleading.

__________________________________ ____________________________
Candidate’s Name (Please Print)          Candidate’s Signature


____________________________
Date

This form must be received with all other forms, pictures, etc. at the Spokane Lilac
Festival Office, 3021 S. Regal, Suite 105 by 3:30 PM on November 6, 2009.

For Royalty wardrobe information:
Dress size________________
Shirt size__________________
Pant size__________________
Shoe size_________________




© 2008. Spokane Lilac Festival.                                                            Royalty Candidate Agreement
SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org


                                   PERMISSION TO PHOTOGRAPH




I, _________________________________________, parent/guardian of

_____________________________________________, grant the Spokane Lilac Festival Association

permission to take and reproduce pictures taken with the Fab 14 and Royal Court.



I understand these photographs may be used for web and print as well as for memorabilia for the court and will

not be sold to any person or publication.



__________________________________ Date _________________________
Signature




© 2008. Spokane Lilac Festival.                                                        Royalty Candidate Agreement
SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org


                                     LILAC FESTIVAL ROYALTY
                                  PARENT CANIDATE RELEASE FORM

I hereby request that my daughter be permitted to participate in the 2010 Lilac Festival Royal Court Selection
Process during the period of November 2009 through February 2010. Recognizing that the Spokane Lilac
Festival Association is a non-profit organization that relies on corporate sponsors to assist in presenting various
Lilac Festival activities, I, the undersigned, intending to be legally bound do hereby, for myself and my heirs,
executors, administrators, and assigns, waive and release any and all rights and claims for damages that I may
have against the Spokane Lilac Festival Association, all their sponsors, and volunteers or agents (collectively, the
Spokane Lilac Festival Association) from any claims for injury or loss or damage which may be claimed against
any of the foregoing in any manner to me or through my child.

I attest that my child is physically fit and sufficiently trained for the assigned duties. I understand and agree that
any medical services rendered to my child by or at the instance of any of the above parties is not an admission
of liability to continue to provide me any such services and is not a waiver by and of said parties of any right
hereunder.

I further agree to indemnify the Spokane Lilac Festival Association against any judgments and reasonable costs
and expenses incurred (including attorney fees) by any of the foregoing in defending any such claim or any claim
made by anyone else relating to the activities of my child.

I HAVE READ AND I UNDERSTAND EVERY THING WRITTEN ABOVE. I/WE, the
undersigned parent/legal guardian:


_________________________________                  ____________________________               ______
Signature of Parent/Legal Guardian                        Printed Name                        Date

Child lives with (please indicate:  Mother                  Father          Both

                                            Other _____________________________

Child’s Name:__________________________________________

Phone Number: ___________________________________

Person to be contacted in an emergency if parent or legal guardian cannot be reached:

Name: ________________________________, Relationship to child ___________________

Phone (day): ___________________________, (evening):_____________________________




© 2008. Spokane Lilac Festival.                                                                Royalty Candidate Agreement
SPOKANE LILAC FESTIVAL ASSOCIATION
                   3102 S. Regal St. Suite 105 Spokane, WA 99223
                   (509) 535-4554  (509) 534-2621 fax
                   www.SpokaneLilacFestival.org


                                     LILAC FESTIVAL CANDIDATE
                                  CONSENT FOR MEDICAL TREATMENT


I, the undersigned, being legal custodian of ___________________________________do authorize medical
care to include diagnostic and surgical treatment deemed necessary in an urgent situation. This care should be
directed by our family physician as designated below unless that physician is unavailable. Should the physician be
unavailable, I authorize the designated representative of Spokane Lilac Festival to secure appropriate medical
attention. This directive is applicable only while this young woman is participating in an official capacity as Lilac
Festival Royalty and parent/guardian is not available or capable of determining medical treatment or care. It may
include urgent care visits, emergency room visits, and inpatient hospitalization if necessary. I will be informed
immediately of the necessity for such care. This document is being signed in advance of any medical need and
remains in effect throughout the festival season which terminates February 2011.

________________________________                         ___________________________________
Father/Legal Guardian                             Mother/Legal Guardian


________________________________                           ______________________________________
Witness                                                    Date


Candidate Full Name______________________________________________________________
Address____________________________________
City, State, Zip______________________________
Phone______________________________________
Birth date___________________________________

Pertinent Health
Information__________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
______________________________________________________________
Allergies______________________________________________________________________
Current Medications______________________________________________________________
Last Tetanus Immunization________________________________________________________
Primary Care Physician______________________________________Phone________________

Health Care Insurance ____________________________________Policy # ________________
Father Home Phone___________________ Mother Home Phone______________________
       Work Phone___________________            Work Phone______________________
Other Emergency Contact_________________________________________________________
       Address_________________________________________________________________
       Relation to Royalty Member_________________________________________________
       Phone__________________________________________________________________




© 2008. Spokane Lilac Festival.                                                              Royalty Candidate Agreement

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Candidate Agreement

  • 1. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org Dear Student Thank you for your interest in the Spokane Lilac Festival and its Royalty Scholarship program. In order to be eligible, you must attend one of our informational meetings with a parent or legal guardian. These meetings are an important opportunity for you to hear all about the Royalty program. You’ll hear how the Royalty program is a wonderful, life changing experience, yet more importantly, just as any activity; it is also very time consuming. If upon attending the meeting, you determine the Spokane Lilac Festival Royalty Program is for you, you’ll first need to touch base with your school advisor and then complete this ENTIRE candidate application and agreement. Your completed application will include the following things:  One-page letter of intent (why do you want to be involved and what do you hope to gain?)  Fully executed (TYPED) Candidate Agreement (which includes the Bio form)  Wallet-sized face shot, color picture  Photo Release  Medical Release  Two Letters of Recommendation  Copy of current grade transcript (obtain through your counselor) Once prepared, these items will need to be submitted as a package. Your school advisor has been instructed to provide us with complete packages only. All applications are due at the Spokane Lilac Festival Office no later than 3:30 p.m. on November 6, 2009. Once again, thank you for your interest. Good luck! And no matter what, don’t forget to have fun during this selection process. We are looking forward to getting to know you. Sincerely, Elisabeth Hooker, Spokane Lilac Festival Vice President of Royalty 2009-2010 ehooker@SpokaneLilacFestival.org (509) 998-4145 © 2008. Spokane Lilac Festival. Royalty Candidate Agreement
  • 2. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org ROYALTY SELECTION CRITERIA Thank you for your interest in the Spokane Lilac Festival and its Royal Court. Following is all the information you’ll need to know. • The Lilac Festival Royal Court will be comprised of six princesses and one queen. • Candidates will be selected as Lilac Royalty from Spokane County schools, one candidate per school. • Candidates must be residents of Spokane County. • Candidates must be full-time female students and members of the senior class, scheduled and on track to graduate with their class. • Candidates will have an overall GPA of 3.0 (based on a 4.0 system) or greater for six semesters of high school and a commendable attendance and citizenship record. • Candidates must be free of any visible body art including tattoos or excessive piercing. • Candidates must be single, having never been married, divorced, had a marriage annulled or have had a child. If selected, they must agree to remain single and childless through the Lilac year. • Candidates should be active in community, civic and school activities and service. • Candidates must be aware that Festival Activities are a priority and that festival week in May is a full- time commitment. • Although a queen is selected, all members of the Royal Court will be actively involved in most scheduled events. • Candidates must be aware that Lilac Festival activities continue through the summer and Royalty participation is required when scheduled. © 2008. Spokane Lilac Festival. Royalty Candidate Agreement
  • 3. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org CANDIDATE’S AGREEMENT 1. I am a full-time high school female student, currently residing within Spokane County and will continue to reside in these boundaries until graduation. I have an accumulated grade point average of at least 3.0 based on a 4.0 system. 2. I have a proven record of good citizenship and attendance. 3. I will be graduating with my senior class. 4. I have never been married, divorced, or had a marriage annulled, and agree not to marry until my duties with the Lilac Festival are met. 5. I have never been pregnant or had a child. 6. I have never been convicted of a crime. 7. I do not have and visible body tattoos or excessive piercings. 8. I do not hold another crown or title and I agree not to enter any other royalty contests or pageants until after Coronation Night, if chosen as a member of the Festival Royalty. 9. I will refrain from possessing, selling or any personal involvement with alcohol, any controlled substance, or non-prescription mind, personality, or mood altering substance from the time I sign this document through my tenure as royalty. 10. I will not use or possess tobacco products while representing Spokane Lilac Festival Association. 11. I promise that I will be on time and available for all scheduled events. I am aware that the Spokane Lilac Festival will schedule appearances during school hours, evenings, weekends, and during the summer. I am able and willing to carry out the duties and responsibilities as a Royalty Candidate. 12. I realize that the Festival Chaperones and Festival Directors are responsible for my care and protection. I understand they will contact my parents if I do not arrive at a designated event at the appointed time. 13. I understand the Festival does not provide transportation to events. 14. I understand that I may be disqualified from the Lilac Festival Team and Royalty Court competition if I fail at any time to conform to the terms of this Candidate’s Agreement, or state anything in this agreement, or Bio Form that is misleading or not true. 15. I acknowledge that the Festival reserves the right to conduct the Royalty Selection Process according to the procedures now in effect, or as may be amended by the Festival’s Board of Directors. I acknowledge that the Festival selects or approves all clothing that must be worn by Festival Royalty for Lilac- sanctioned events. I agree that by my participation in the Royalty Selection Process, I waive any right to contest any aspect of the judging or Royalty Selection Process. I HAVE READ, UNDERSTAND AND AGREE TO EACH OF THE SECTIONS OF THIS CANDIDATE’S AGREEMENT AND VOLUNTARILY PLACE MY SIGNATURE BELOW: ____________________________ _________________________________ Candidate’s Name (please print) Candidate’s Signature ______________________________ _________________________________ Date Parent/Guardian Signature ______________________________ __________________________________ School attending School Advisor Signature This form must be received at the Festival Office, 3021 S. Regal, Suite 105 by 3:30 pm on November 6, 2009. © 2008. Spokane Lilac Festival. Royalty Candidate Agreement
  • 4. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org CANDIDATE BIO FORM Type only. No handwritten information sheets accepted. Two pages, one-sided, only NAME: ____________________________________________________________________________ SCHOOL:__________________________________________________________________________ HOME ADDRESS (please include zip code): ______________________________________________ HOME TELEPHONE # :_____________________ CELL PHONE #: __________________________ E-MAIL ADDRESS: ________________________________________________________________ BIRTH DATE: _______________________ PARENTS’ NAMES: _________________________________________________________________ DAD HOME TELEPHONE # : ____________________ CELL PHONE #: ________________________ MOM HOME TELEPHONE # : ____________________ CELL PHONE #: ________________________ PARENTS’EMPLOYERS: Dad ________________________Mom ____________________________ PARENTS’ E-MAIL ADDRESS ________________________________________________________ NAMES/AGES OF BROTHERS & SISTERS: ________________________________________________________________________________ ________________________________________________________________________________ Please list CURRENT activities in which you are involved: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ What are your plans after graduation? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Accumulative High School Grade Point Average (GPA) ______________________ © 2008. Spokane Lilac Festival. Royalty Candidate Agreement
  • 5. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org CANDIDATE BIO FORM Please list school honor classes, above the general requirements, from grade 9 – 12: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Please list any outside work experience (jobs) with dates – grades 9 – 12: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Additional information (volunteer experience, travel, special awards, etc.) that you’d like to include: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ I certify that the information provided in this two page form is true and correct, and is in no way misleading. __________________________________ ____________________________ Candidate’s Name (Please Print) Candidate’s Signature ____________________________ Date This form must be received with all other forms, pictures, etc. at the Spokane Lilac Festival Office, 3021 S. Regal, Suite 105 by 3:30 PM on November 6, 2009. For Royalty wardrobe information: Dress size________________ Shirt size__________________ Pant size__________________ Shoe size_________________ © 2008. Spokane Lilac Festival. Royalty Candidate Agreement
  • 6. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org PERMISSION TO PHOTOGRAPH I, _________________________________________, parent/guardian of _____________________________________________, grant the Spokane Lilac Festival Association permission to take and reproduce pictures taken with the Fab 14 and Royal Court. I understand these photographs may be used for web and print as well as for memorabilia for the court and will not be sold to any person or publication. __________________________________ Date _________________________ Signature © 2008. Spokane Lilac Festival. Royalty Candidate Agreement
  • 7. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org LILAC FESTIVAL ROYALTY PARENT CANIDATE RELEASE FORM I hereby request that my daughter be permitted to participate in the 2010 Lilac Festival Royal Court Selection Process during the period of November 2009 through February 2010. Recognizing that the Spokane Lilac Festival Association is a non-profit organization that relies on corporate sponsors to assist in presenting various Lilac Festival activities, I, the undersigned, intending to be legally bound do hereby, for myself and my heirs, executors, administrators, and assigns, waive and release any and all rights and claims for damages that I may have against the Spokane Lilac Festival Association, all their sponsors, and volunteers or agents (collectively, the Spokane Lilac Festival Association) from any claims for injury or loss or damage which may be claimed against any of the foregoing in any manner to me or through my child. I attest that my child is physically fit and sufficiently trained for the assigned duties. I understand and agree that any medical services rendered to my child by or at the instance of any of the above parties is not an admission of liability to continue to provide me any such services and is not a waiver by and of said parties of any right hereunder. I further agree to indemnify the Spokane Lilac Festival Association against any judgments and reasonable costs and expenses incurred (including attorney fees) by any of the foregoing in defending any such claim or any claim made by anyone else relating to the activities of my child. I HAVE READ AND I UNDERSTAND EVERY THING WRITTEN ABOVE. I/WE, the undersigned parent/legal guardian: _________________________________ ____________________________ ______ Signature of Parent/Legal Guardian Printed Name Date Child lives with (please indicate:  Mother  Father  Both  Other _____________________________ Child’s Name:__________________________________________ Phone Number: ___________________________________ Person to be contacted in an emergency if parent or legal guardian cannot be reached: Name: ________________________________, Relationship to child ___________________ Phone (day): ___________________________, (evening):_____________________________ © 2008. Spokane Lilac Festival. Royalty Candidate Agreement
  • 8. SPOKANE LILAC FESTIVAL ASSOCIATION 3102 S. Regal St. Suite 105 Spokane, WA 99223 (509) 535-4554  (509) 534-2621 fax www.SpokaneLilacFestival.org LILAC FESTIVAL CANDIDATE CONSENT FOR MEDICAL TREATMENT I, the undersigned, being legal custodian of ___________________________________do authorize medical care to include diagnostic and surgical treatment deemed necessary in an urgent situation. This care should be directed by our family physician as designated below unless that physician is unavailable. Should the physician be unavailable, I authorize the designated representative of Spokane Lilac Festival to secure appropriate medical attention. This directive is applicable only while this young woman is participating in an official capacity as Lilac Festival Royalty and parent/guardian is not available or capable of determining medical treatment or care. It may include urgent care visits, emergency room visits, and inpatient hospitalization if necessary. I will be informed immediately of the necessity for such care. This document is being signed in advance of any medical need and remains in effect throughout the festival season which terminates February 2011. ________________________________ ___________________________________ Father/Legal Guardian Mother/Legal Guardian ________________________________ ______________________________________ Witness Date Candidate Full Name______________________________________________________________ Address____________________________________ City, State, Zip______________________________ Phone______________________________________ Birth date___________________________________ Pertinent Health Information__________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ______________________________________________________________ Allergies______________________________________________________________________ Current Medications______________________________________________________________ Last Tetanus Immunization________________________________________________________ Primary Care Physician______________________________________Phone________________ Health Care Insurance ____________________________________Policy # ________________ Father Home Phone___________________ Mother Home Phone______________________ Work Phone___________________ Work Phone______________________ Other Emergency Contact_________________________________________________________ Address_________________________________________________________________ Relation to Royalty Member_________________________________________________ Phone__________________________________________________________________ © 2008. Spokane Lilac Festival. Royalty Candidate Agreement