New York Angels Pageant Registration Form
Pageant for Individuals with Special Needs
Address
Your answer
Last Name
Your answer
First Name
Your answer
City & State
Your answer
Zip Code
Your answer
Contact Number
Your answer
Birth Date and Year
MM
/
DD
/
YYYY
Email Address
Your answer
Parent/Guardian Name (18yrs or under)
Your answer
Tell Us About Yourself
Gender
T-Shirt Size
How did you hear about this pageant?
Required
Would you like to perform talent?
Required
If yes, please fill in talent here
Your answer
What age group are you in?
For Participants Newborn to 12 years old
What school/ day program do you attend ?
If applicable
Your answer
Most Admired Person
Your answer
Hobbies
Your answer
Sports
Your answer
Dance
Your answer
Music
Your answer
Clubs
Your answer
Other Interesting Facts
Remember this information will be used in the on stage portion of the pageant.
Your answer
For Participants 12 years to Adults
What day program do you attend/ or position do you have at work (if applicable)?
Your answer
Ambition
Your answer
Hobbies
Your answer
Sports
Your answer
Dance
Your answer
Music
Your answer
Clubs
Your answer
Other Interesting Facts
Remember this information will be used in the onstage portion of the pageant.
Your answer
Are you a Self Advocate and would like to be considered for the New York Angels Ambassador title?
What does Self Advocacy mean to you?
Must fill out this section to be considered for Angels Ambassador Title.
Your answer
New York Angels Pageant Kick Start
Please check the following events that you will be attending.
Required
Consent for Photo Release
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