Irish American Heritage Queen
Entry Form - This entry is free!

Name:

Address:

City:                                                             State:                             Zip:

Phone:                                                       Cell:

Email:

Date of Birth:
(Must be 18 by January 1, 2017 and not older than 28 by August 16, 2017)

Father’s Name:

Mother’s Name:

Sisters and Brothers:
Names & Ages:





School Name: (If applicable):

Irish surnames in your family:



In a paragraph, tell us why you want to be the Irish American Heritage Queen:










Signature of applicant:


Date:


*This application needs to be in the hands of the committee no later than February 28, 2017. 
*The IAHC Queen Selection will be announced soon and will be held at the Irish American Heritage Center.
*All Winners must be available for the Downtown Parade - Saturday, March 11th & South Side Irish Parade – Sunday, March 12th and participate in May as the Irish American Heritage Center Rose in the Chicago Rose of Tralee Selection!  Event details to be announced!
*Irish American Heritage Center Rose:  You must be between the ages of 18 and 27 as stated above for the Irish American Heritage Center Rose and participate in the Chicago Rose of Tralee in May for the selection.  Able to travel to Ireland for a two-week all expense paid trip in August 2017 to compete in the televised Rose of Tralee International event and festival if selected as the Chicago Rose.
** Please hit the submit button and we will be contacting your shortly!!!

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