All you need to do to enter this pageant is fill out the form below.
But please do not send a registration form unless you are certain that
you are going to be able to attend.
ENTRY FEE: FREE
Optional Photogenic: $5.00 Optional Side Awards: $10.00
Optional Ultimate Supreme: $10.00
Optional Overalls will be offered at the door
Door Admission: Adults, Children 4-12 & All Contestants: $10.00
 3 & under (viewing only): free


Valentine Queens & Kings


Name

Age

Date of Birth

Email

Phone #

Street Address

City, State & Zip

Parents

Hair

Eyes

Hobbies

Ambition

Favorite TV Show

Favorite Song

Sponsored By

Referred By

Parent Signature


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