City Pageant Application

Date/Time/Location

February 11, 2017
1:00pm
Destiny Community Center, Rocklin

Information

Entry Fees:    $90.00 (Miss & Teen)
                 $75.00 (Jr Miss, Jr Teen, & Ms.)
                 $65.00 (Wee & Little)
Rehearsals:   1/20, 1/27, 2/3   6:00-8:00pm
Application Deadline: 01/30/17

2017 Scholarship Pageant Application

Contestant Name *

First

Last

Parent Name (if contestant under 18 yrs old) *

First

Last

Phone Number *

Email (be sure email is correct as this is how you will receive confirmation) *

Contestant's Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Tell Us 3 Things About Yourself *

How Did You Hear About Us? *

Coupon Code *

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

Submit