Chicago Rose of Tralee
Preliminary Rose Entry Form - This entry is free!
Name:
Address:
City: State: Zip:
Phone: Cell:
Email:
Date of Birth:
(Must be 18 by January 1, 2012 and not older than 28 by August 17, 2012)
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 Chicago Rose:
Signature of applicant:
Date:
In the hands of the committee no later than March 21, 2012.
For more information visit our website at www.chicagoroseoftralee.com
If chosen as a Chicago finalist, sponsorship entry fee is $300.00.
Any questions, please do not hesitate to call:
Mary Kay Gavin-Marmo & Deirdre McNulty Kochuparambil
773-239-3927
