Pre-Register

Parent / guardian info

* Indicates required field

Parent/Guardian Name *

First

Last

Today's date. *

Address *

Phone Number *

Email *

Best time to contact. *

Participant Name *

First

Last

Age (requirement age is from 5 to 7) *

5 6 7

Participant date of birth *

Physical description i.e height/hair color/ethnicity etc... *

Headshot (optional) *

Max file size: 20MB

Full shot ( optional ) *

Max file size: 20MB

School *

Grade *

Favorite Subject *

Favorite Color *

List outside school activities/clubs *

List your hobbies/interests *

Person you most admire & why? *

Other pageants you have participated in & or won *

Other information you would like to let us know about you? *

Submit