21st International Fiesta
Saturday, April 2, 2011
11:00 a.m. – 3:00 p.m.
Application Form
Submission deadline: March 1, 2011
6:00 p.m., Rm. 103 Memorial Hall
Organization Name: ________________________________________________________
Contact Person: ___________________________________________________________
Email: __________________________________ Tel #:____________________________
1. Entertainment (limit 2 only) Please Circle: Dance Song Instrument Other
Contact Person for Organization’s Presentation: ________________________________
Email: __________________________________Tel #:__________________________
2. Fiesta Participation Please Circle: Booth Food Contest(s)
3. Contests a. Food Please Circle: Main Dish Dessert
b. Booth Display Please Circle: Y N
4. Booth Rental Minimum 2 Tables and 4 chairs. Fee: $ 20 Please Circle: Y N
Extra table: $5 (Limited to 6) Total Payment: ___________ (Enclose payment w/form)
4. Certification of Food Training Please Circle: Y N
Website: http://www.health.msstate.edu/food/ (Enclose certificate w/form)
5. Participation Mr. and Ms. International Fiesta Please Circle: Y N
Candidates for Mr. and Ms. International Fiesta
Mr. Name: ________________ Dept.:___________________ Email: _______________
Ms. Name: ________________ Dept.:___________________ Email: _______________
6. Participation Little Mr. and Ms. International Fiesta Please Circle: Y N
Candidates for Little Mr. and Ms. International Fiesta (12 yrs. old and below)
Little Mr. Name: ______________________ Age:___________
Parent(s) approval signature(s):_________________________
Little Ms. Name: _____________________ Age: ___________
Parent(s) approval signature(s): ________________________
7. Participation Parade of Flags Please Circle: Y N
Country: ___________________ # of participants: ________
8. Participation Souvenir Program Cover Design Contest Please Circle: Y N
9. Ad Solicitation for Souvenir Program
Please Circle: 1 page ($100), ½ page ($ 50), ¼ ($25) (Enclose Ad design and check w/form)