The 2017 Miss Millville Scholarship Pageant
First and Last Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Name and contact information of your parent(s)/guardian(s) *
Your answer
Name of your Escort: This can be a father/mother, grandparent, sibling, friend. They will be escorting you in your formal wear. *
Your answer
Description of talent: Please limit your talent to a 5-minute presentation. This can include but is not limited to a musical number, dance, reading, skit, display of artwork, etc… *
Your answer
Please provide a 150-250 word introduction about yourself, include hobbies, interests, talents, community involvement, etc. This introduction will be used throughout the pageant. *
Your answer
Please provide us with 5 pictures of you growing up for a slide show presentation. They can be digital or hard copies. We also need a framed 8x10 photo to display the night of the pageant. Make sure that all physical pictures are clearly labeled with your name.
The 2017 Miss Millville Scholarship Pageant
Online Registration Form

Miss Millville is a pageant for girls in their sophomore, junior, and senior year of high school who are striving for excellence. Pageants provide opportunities for girls to learn self-confidence, leadership skills, and community service.
This year we will be crowning a Miss Millville and 2 or 3 attendants. We anticipate raising enough money to provide scholarships for these contestants.

Winners of the Miss Millville Pageant will be expected to participate in; summer parades, Millville City days, community service opportunities and the committee for next year’s pageant.

Winners will be expected to:
Ride on the Millville City Float during the summer (dates and times will be provided as they become available)
Participate in Millville City Days celebrations
Participate as a committee member for next year’s pageant
Participate in community service opportunities

Important dates:
April 9, 2017 This form, Introduction, and pictures due
April 22, 2017 Pageant run through 5:00pm
Miss Millville Scholarship Pageant 7:00pm

For more information contact Brittany Wall at 435-770-4098 or

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