500 Festival

> OneAmerica 500 Festival Mini-Marathon
> IPL 500 Festival Parade
> Finish Line 500 Festival 5K
> 500 Festival Training Series
> Princess Program
> Chase 500 Festival Kids’ Day
> Chase 500 Festival Rookie Run
> Breakfast at the Brickyard
> Education Program
> 500 Festival Memorial Service
> American Family Insurance Community Day
> Regions Snakepit Ball
> Vending Program

Events

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Full Name:

Date of Birth:

College or University:

Class:

Expected Graduation Date:

School Address:

City:

State:

Zip Code:

Phone:

Cell Phone:

E-mail address:

Father's Name:

Mother's Name:

If applicable - Step-Parent(s) Name:

Parent's E-mail address:

Home Address:

City:

State:

Zip Code:

Home Telephone Number:

Emergency Contact:

Emergency Phone:

Please indicate preferred mailing address/phone number:

Home School

High School from which you graduated:

Year:

City:

State:

Major Area of College Study (ies):

Cumulative GPA (on a 4.0 scale):

Academic Hours:

Name 1-3 Hometown Newspaper

Newspaper 1:

Newspaper 2:

Newspaper 3:

Please list those college activities, honors, and campus involvement most important to you:

Please list those community service and volunteer activities most important to you:

What is the most rewarding community/volunteer experience you have ever had and why?

How do you hope to utilize your unique skills/talents to serve as an ambassador of the Indianapolis Motor Speedway, the 500 Festival, city of Indianapolis, and state of Indiana, should you be chosen as a 2012 500 Festival Princess?

What do you expect to gain by participating in the 2012 500 Festival Princess Program?

I certify that all above information is true and accurate and agree to allow the 500 Festival use of my application. I have read and fully understand and agree to the rules and regulations regarding eligibility for the 2012 500 Festival Princess Program.

I understand and agree that information about me, including information on this form, may be provided to third parties for any legitimate purpose, including marketing and media purposes. I further grant full permission to the 500 Festival and the Releases, and/or agents authorized by them, to use any photographs. video tapes, motion pictures, or other record of the Princess Program for any reasonable purpose.