2019 Miss Wisconsin Rapids Contestant Interest Form
Thank you for your interest in the Miss Wisconsin Rapids Scholarship Competition! Whether you know you want to be a contestant, or you just want to find out more information, please fill out the form below. This form will help us to know how to contact you and will also let us know what questions we should address during the informational meeting.

To be eligible you must currently be at least a current Junior in high school (must turn 17 by July 31st, 2019) and live or attend school Wisconsin Rapids, Nekoosa, Port Edwards, or the surrounding areas!
First AND Last Name *
Your answer
Date of Birth *
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DD
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YYYY
School *
Your answer
Current Grade in School *
Email *
Your answer
Phone number *
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
How did you hear about us? *
Required
If you were nominated, who nominated you?
Your answer
What is your level of interest in competing in the Miss Wisconsin Rapids Pageant on October 27th? *
Required
What do you hope to gain from competing in the pageant? (check all that apply) *
Required
What type of talent will you be performing?
What are your biggest questions or concerns you have about competing? (We will make sure to address this at the informational orientation.) *
Your answer
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