Miss Jackson Crossroads Outstanding Teen Entry Form
Name of Contestant
Your answer
Mailing Address
Your answer
Telephone Number
Your answer
E-mail Address
Your answer
Name of School
Your answer
Grade in School
Your answer
Current Age
Your answer
Birthdate
Your answer
Eligibility
Name of Parents
Your answer
Describe your talent
Click and drag on lower right edge to expand box.
Your answer
Describe your music
Talent music will be registered by E-mail date of entry form. If you have not decided on your music, you can still submit the entry form at this time and register your music via E-mail or at orientation.
Your answer
Signature of Contestant
Your answer
Signature of Parent or Guardian
Your answer
Entry Deadline: March 1, 2018
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