Entry Form

* Indicates required field

Contestant's Name *

First

Last

Contestant's Age (as of pageant date) *

Contestant's Date of Birth *

Parent's Names *

City *

State *

Phone Number *

Email *

Hair Color *

Eye Color *

Favorite Color *

Favorite Food *

Hobbies/Ambition *

Name of Pageant *

Selling Hospitality Tickets? *

Referred by *

***Waiver*** By submitting this entry form you are acknowledging the following: I have read and understand all rules and regulations. I release Pageants Galore, Etta Lyons- Holder, Kandie Jeans, pageant staff & event location from any and all liabilities. No refunds of registration fees unless pageant is cancelled. Poor Sportsmanship by the contestant or parents will not be tolerated – contestants may be disqualified without a refund and forfeit any cash and/or prizes. All information I have provided is accurate and true. I also grant the above named pageant/director permission for the use of any photos/videos of my child in any and all future promotions and advertising.

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Deposit/Payment

Entry Form​

Entry Form