Baby Contest
Mendota Tri-County Fair
Monday, September 5, 2011 1:00 PM
Entry Form
Baby's Name
___________________________________________
Social Security # _____________________________________
Exact age on September 3, 2012 ________________________
Boy ________ Girl _________
Parent's Names ________________________________________
Address _______________________________________________
Please furnish a photocopy of the child's birth certificate and a $1.00 fee.
($2.00 entry fee after September 1). Contest is open to babies 6 months to 30 months
old. For additional information or call
539-7974.
No entries will be accepted after 12:00 (noon) September 3.
Mail to:
Mendota Tri-Co. Fair
PO Box 142
Mendota, IL 61342