Miss Indian North Carolina Appearance Request Form
Please complete this form to request the appearance of Miss Indian North Carolina, Miss Cheyenne Daniel.

For additional questions or inquiries, please contact Dr. Leslie Locklear at leslielocklear51@gmail.com.
Email address *
Name of Event: *
Your answer
Date of Event: *
MM
/
DD
/
YYYY
Time of Event: *
Time
:
Time of Arrival: *
Time
:
Length of Event: *
Your answer
Name of Facility & Location of Event (please provide physical address for directions): *
Your answer
Is there an admission fee? *
If yes, how much?
Your answer
Type of dress required: *
Do you want her to: *
Does your event require overnight stay? *
Please provide any overnight stay information below: *
Your answer
Contact Person (please include name; email address; phone number): *
Your answer
Additional Information:
Your answer
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