Chicago Rose of Tralee
Rose Petal Entry Form

Name:

Address:

City:                                                     State:                                 Zip:

Phone:                                                       Cell:

Email:

Date of Birth:
(Must be between 13 and 17 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 your Rose Petal's participation:



Date:



Please submit no later than March 25, 2017.  Must be available on April 8, 2017 for The Chicago Rose of Tralee Selection and pay your $50.00 Application Fee on the home page. 
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