*Name of Contestant:

*Name of Parents/ Guardians: 


*Phone:                                                      *E-mail

*Age                                 *Age as of 2/5/16                                           *Birth Date

*Hair Color                                         * Eye Color

Sponsor(s) If Applicable:

The following should be answered by school age children.


Activities and Awards Honors, Talents, Sports, School & Community Activities:__(Answer if Age Appropriate)

Favorite Food:                                                             Favorite Song

Favorite Movie                                                             Favorite Color:

Favorite Singer/Band: ____________________     Favorite Actor/Actress : _______________________

Favorite Animal: ________________________      Favorite Toy:_______________________  

Do you have any brothers or sisters and what are their names? 

Do you have any pets? If so, what and what are their names? 

Contestants/parents agree to hold harmless the pageant, directors, or volunteers from possible damages through loss, theft, or injury caused by or during her participation, or to and from the pageant or any related event. We also agree to display good sportsmanship at all time during and after the event. I will comply with this release in every way, and that personal data I have submitted is true and correct. Please sign below.

*Parent’s signature______________________________  *Date:___________

*Address: ____________________________________      *Phone Number:_________________

*Email: _______________________________________

Don't forget to complete your entry by visiting the pageant payment page. 


*Required Field