Chicago Rose of Tralee
Rose Bud Entry Form

Name:

Address:

City:                                                       State:                                    Zip:

Parent Phone:                                                  Parent Cell:

Parent Email:

Date of Birth:
(Must be between 5 and 12 years old)

Father’s Name:

Mother’s Name:

Sisters and Brothers:
Names & Ages:





School Name: (If applicable):

Irish surnames in your family:




Name of parent Consenting you Rose Bud's participation:


         
Date:



Please submit no later than March 25, 2017.  Must be available on April 8, 2017 for Chicago Rose of Tralee Selection.  Date to be announced.  Also, please submit your $50.00 application fee on the "Home" page.  We will be in touch!
For more information visit our website at www.chicagoroseoftralee.com


Any questions, please do not hesitate to call:
Mary Kay Gavin-Marmo
773-729-0811