Pageant Registration

First Name

Last Name

Email Address

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Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Registration Fee: $75

We are grateful for a generous donation by Bell State Bank and Home Community Bank of a $25 scholarship for each participant.

Parents Name

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Sponsoring Organization

School Attends

Last Grade Completed

Hair Color

Eye Color

Height

Favorite Food

Favorite TV Show or Music

Favorite Ice Cream

Best Thing about Yourself

What do you do for Fun?

What do you want to be when you grow up?

What are your hobbies or interests?

Do you have a pet and if so, tell us about your pet?

How many brothers and sisters do you have and what are their names?

If you could go anywhere in the world, where would you go and why?

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