2019 DA Pageant Online Entry
Email address *
Contestants Name *
Your answer
Age (as of April 9, 2019) *
Phone Number (Include Area Code) *
Your answer
If the above number is a cell number, do you have texting? *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
County *
Your answer
Email Address *
Your answer
Parent/Guardians Names *
Your answer
Birthdate (Month/Day/Year) *
MM
/
DD
/
YYYY
Hair Color *
Your answer
Eye Color *
Your answer
School Currently Attending *
Your answer
Current Grade in School *
Your answer
Interests and Hobbies (Please write as much as possible; do not write the contestants name in the information) *
Your answer
Honors and Awards (Please write as much as possible; do not write the contestants name in the information) *
Your answer
Clubs/Organizations (Please write as much as possible; do not write the contestants name in the information) *
Your answer
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