2018 Portsmouth River Days Little Miss Pageant Registration (Baby-Young Divisions)
Registration deadline is August 19, 2018
*School Age Divisions (Tiny-Young Miss) will receive an On-Stage Question from the list below
* Required
Last Name
*
Your answer
First Name
*
Your answer
Date of Birth
*
Your answer
Parent Email
*
We will send you communication that will require responses
Your answer
Age Division (Age as of Labor Day of competition year)
*
Please choose the appropriate age division, based on the age or grade of your child on Labor day of the competition year
Baby Miss (Birth to 12 months)
Wee Miss (1 year old)
Toddler (2 years old)
Tot (3 years old)
Tiny Tot (4 years old & any 5 year old not enrolled in Kindergarten)
Tiny (kindergarten, pre first, &1st grade)
Little (2nd & 3rd grade)
Junior (4th & 5th)
Young (6th, 7th or 8th)
Other:
School District in which you reside or attend
*
Clay
East
Glenwood
Green
Minford
Northwest
Notre Dame
Portsmouth
West
South Webster
Valley
Wheelersburg
Were you referred by a Miss River Days Contestant
*
Please confirm below which high school contestant referred you to participate
Clay
East
Glenwood
Green
Minford
Northwest
Notre Dame
Portsmouth
West
South Webster
Valley
Wheelersburg
None
Parent Name
*
Point of Contact
Your answer
Parent Contact Phone
*
We need to be able to reach you
Your answer
I intend for my child to participate in the River Days Parade
*
Participation for Baby-Tiny Tot is optional. Tiny to Young miss contestants should plan on parade participation. You will need to provide your own transportation for the parade and signs for your car.
Yes, my child will participate in the parade
No, my child will not participate in the parade
I plan to purchase a space in the Official River Days Program
You may purchase a page in the program spotlighting your child. A full page ad costs $100. 1/2 page $50.00, 1/4 page $25.00. Payments and a photo ready ad must be submitted by August 1st for publication.
Yes, I intend to purchase a program page
No, I will not be purchasing a program page
whole page $100.00
half page $50.00
quarter page $25.00
Please indicate below t-shirt size for fitted tshirt.
*
Contestants in the Tiny to Young Division are required to purchase an opening number t-shirt that will be worn to open the pageant, and will also serve as a travel top in the event that your child wins. The cost of the shirt, payable at the Sunday rehearsal is $20.00. The top will be 100% cotton and will be fitted in nature. If you are in doubt of a size, move up a size.
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult XL
My division does not require a tshirt
Form of payment
*
You must submit a form of payment for your registration to be considered complete. Please indicate your response below. We cannot accept personal checks for payment. Payments must be in the form of an electronic transaction or in the form of a cashier's check or money order.
I plan to pay using paypal
I plan to submit my payment to Portsmouth River Days c/o Regina Speas 9 Pine Bluff Ct, Wheelersburg, OH 45694
Parents Names
*
To Be Announced On Stage
Your answer
Age/Grade/School Attending
*
To be announced on stage
Your answer
My favorite color is _____?
*
To be announced on stage
Your answer
My favorite thing to do is _______?
*
To be announced on stage
Your answer
My favorite food is _______?
*
To be announced on stage
Your answer
My favorite TV show is _____?
*
To be announced on stage
Your answer
When I grow up, I want to ________?
*
To be announced on stage
Your answer
The funniest thing that has ever happened to me is _______?
*
To be announced on stage
Your answer
Something special about me is __________?
*
To be announced on stage
Your answer
My favorite part of River Days is ________?
*
To be announced on stage
Your answer
The famous person that I would like to meet is _______?
*
To be announced on stage
Your answer
Submit
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