City Pageant Application

Miss Rocklin, Miss Lincoln & Miss Roseville City Scholarship Pageant

March 13, 2021
11:00am - Wee Miss, Little Miss, and Pre-Teen
3:00pm - Jr Teen, Teen, Miss, Ms & Mrs
(times subject to change)

Hilton Garden Inn
$10 Admission at Door

2021 Pageant Application

* Indicates required field

Choose Age Division *

There are 3 city title options for each age division:

Miss Lincoln
Miss Roseville City
Miss Rocklin

You will complete a preference form prior to the pageant to indicate your choices.

Contestant Name *

First

Last

Parent Name (if contestant under 18 yrs old) *

First

Last

Phone Number *

Email (this is how you will receive confirmation) *

Contestant's Date of Birth *

Tell Us 3 Things About Contestant *

These 3 facts will be given to judges to tell them a little about each contestant before interviews.

How Did You Hear About Us? *

Promo Code *

Once you submit your application, a confirmation and invoice will be emailed to you.

Submit