Age Division*
Pageant_Location*
Name*
Age*
Birthdate*
Address*
City/ST/Zip*
Phone*
Email*
Parents*
Eyes*
Hair*
Hobby*
Sponsored By:
Referred By:
Parents Signature*
Date*

 

 

Beauty ($45.00)
Photogenic ($10.00)
Extra Photos ($5.00 ea.)
Most Beautiful ($10.00)
Best Hair, Eyes, Smile & Personality:
receive all four for $10.00
Deposit - $20.00 Min.
(deposit is subtracted from total)
Late Fee - $5.00
(late fee required if no deposit/form were sent)