City Pageant Application

Orientation

December 5, 2018
6:00pm
Blacktop Comedy Theater, Rocklin
*Anyone interested in pageant can attend. We will discuss the requirements and answer any questions!*

Date/Time/Location

January 26, 2019
1:00pm
Destiny Community Center
$10 Admission at Door

Information

Entry Fees:    $90.00 (Miss & Teen)
                 $80.00 (Petite Miss, Jr Teen, & Ms.)
                 $70.00 (Wee & Little)
Rehearsals: January 2, 9, 16, 25 (not mandatory)

2019 Pageant Application

* Indicates required field

There are 4 city title options for each age division:
(does not apply to Tri-Cities titles)
Miss Lincoln
Miss Roseville City
Miss Rocklin
Miss Wheatland

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