Name:
Age (on pageant day):
Date of Birth:
Address:
City, State, Zip:
Parents:
Phone Number:
Email Address:
School:
Grade:
Hair Color:
Eye Color:
I plan to compete in these optional competitions:
Prettiest Eyes Best Dressed
Prettiest Hair Most Beautiful
Prettiest Smile TALENT
Do you plan to compete in the opening dance number
Yes No
I plan to sell ads for the pageant program book. (25% of your
Before being allowed to compete, parent or legal guardian must read and sign a Hold We, the undersigned, as a prospective contestant and as the parent or legal guardian of said prospective
