America's Little Miss Midwest
2017 Official Entry Form. PLEASE NOTE: Your $99 registration MUST be submitted at the time of application.
Email address
Age Division (age as of July 1st 2017)
Contestants Name
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Contestants Date of Birth
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Phone
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Address
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Email Address
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Hair Color
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Eye Color
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Hobbies
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Ambitions
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Name(s) of Parent(s)/Legal Guardian(s)
Your answer
Electronic Signature of Guardian
I hereby certify that America's Little Miss Organization/Pageant, directors, staff and facility of location held or anyone connected with the pageant are not responsible for accidents, damages, injuries, thefts, or losses that may occur before, during or after the pageant or to and from the pageant. I am aware that any photographs taken may be used for publicity. I understand that the judges' decisions are final and will not be disputed. I understand that bad sportsmanship will not be tolerated (this will include my family members and friends who my be with me). I agree that if I or those with me show poor sportsmanship, I will be disqualified from the pageant and any future pageants associated with America's Little Miss. We are here to make each constant feel like a winner. Winners are required to attend the national pageant slated for July or August 2017 in Orlando, FL. Their entry fee will be paid for by America's Little Miss Midwest but they will be required to pay their own transportation, lodging and ad page as it is required by the national pageant and America's Little Miss
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