Product Form

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Contestant Full Name *

Date of Birth *

Age Category *

Tiny Miss (ages 0–3) — 9:00 AMLittle Miss (ages 4–6) — 10:30 AMPetite Miss (ages 7–9) — 12:00 PMPre-Teen (ages 10–12) — 1:30 PMJunior Teen (ages 13–15) — 3:00 PMTeen / Miss (ages 16–21) — 4:30 PM

Email *

Phone *

Mailing Address *

Parent or Guardian Name *

Sponsor Name

Eye Color

Hair Color

Favorite Food

Hobbies

Event Package *

Beauty — $75Photogenic — $50Talent — $75Beauty + Photogenic — $110Full package (Beauty, Photogenic & Talent) — $175

Payment Reference

Parent or Guardian Signature *

Consent Date *

Follow-up Interest

Yes, keep me informed about next year’s eventsNo thanks

Fee Received Date