2019/20 Miss Juneteenth Program Registration
Thank you for registering for the 2019/20 Miss Juneteenth Program. You can find more information and a calendar of events at missjuneteenthor.org.
Participant Name *
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Participant Age *
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What is the participant most interested in participating in? Please check all that apply. *
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Guardian Name (if under 18)
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Address *
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Email (of guardian if under 18) *
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Home Phone number
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Cell Phone Number (of guardian if under 18) *
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Can you receive text messages on your cell phone? *
Participant Shirt Size *
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Please share any questions or concerns below.
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