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 *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Hair Color *

Eye Color *

Favorite Color *

Favorite Food *

Hobbies/Ambition *

Name of Pageant *

Selling Hospitality Tickets? *

***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, Angie Havard 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.

Submit

Entry Form​

Entry Form