2021 Mr./Miss Inclusion Pageant
This will be A Crown All Event
Show Date 31st at White Oak Cottage - Lithia Fl.

Baby Mr./ Miss: 0-18 Months Wee Mr./ Miss: 19 Months - 2 Years Mini Mr./ Miss: 3 - 5 years
Young Mr./ Miss: 6 -8 Years Junior Mr./ Miss: 9 - 12 Years Teen Mr./ Miss: 13-19 Years
Adult Mr./ Miss 20+ Years

**Last Day to sign up is 7/9/21**

11:00am - 1:00 Ages 0-5 2:00 - 5:00 Ages 6+ Times subjected to change, space limited.
Division (as of 7/31/21) *
Parent's Name *
Email *
Phone Number *
Contestant Name *
Hair Color *
Eye Color *
Would your child do best with a buddy? *
Would your child be interested in being a buddy? *
Will your Child need Assistance of any kind? If so Please Explain: *
Interests / Hobbies *
Please List Business Sponsor, if applicable:
As a Parent of the child above I have fully read and understood the rules of this pageant. I understand that the director and/or pageant location will not be held responsible for damages or liabilities due to theft, accident, or injury resulting from my child's participation the pageant. No Refunds will be given unless pageant is cancelled. Any Contestant, parent, or guest acting in a disorderly fashion will be disqualified, asked to leave, and not return to future events. We expect everyone to be courteous and respectful to others at all times during pageant. *
Referred by
I understand that I have to submit a $25 Entry Fee with your child's name and event name in the memo upon submitting this forum. *
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