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, 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 Chicago Rose:










Signature of applicant:


Date:



In the hands of the committee no later than March 25, 2017.
For more information visit our website at www.chicagoroseoftralee.com
If chosen as a Chicago finalist there will be a Sponsorship fee of $250.00.  This can be obtained by
business, family & friends.  The business or family name will appear on your sash.  You must also be available for the Chicago Rose Selection on April 8, 2017 and if chosen the Chicago Rose for two weeks in August 2017 to travel to Tralee, Ireland. 
Please submit this form and send a photo to:  info@chicagoroseoftralee.com

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