REGISTRATION FORM A — SKNNCC NATIONAL CARNIVAL QUEEN PAGEANT

REGISTRATION FORM A — SKNNCC NATIONAL CARNIVAL QUEEN PAGEANT
PERSONAL INFORMATION
Candidate's Complete Name: (First, Middle Initial, Last):
Biological Gender

Male Female
Date:

Month Day Year
Date
Date of Birth: (dd-mm-yy)

Day Month Year
Date
St. Kitts/Nevis Citizen

Yes No
St. Kitts/Nevis Legal Resident

Yes No
Your Age by date of this Event:
yrs
months
Current Place of Residence:
Highest Academic Qualification:
Name of School/Place of Employment:
Home #:
Work #:
Cell #:
Email Address: Write clearly to receive communications in a timely manner:
example@example.com
Contact Person in the event of an Emergency:
Have you ever participated in similar Competitions before? If YES, please list: , ,
List three adjectives that one would use to describe you:
Weight (lbs):
Height:
(feet/inches)
Shirt Size:
Shoe Size:
Pant Size:
Company Sponsor(If applicable)
Hobbies:
Facebook Account:
Name(s) of Coach(es)
Having read, understood, signed, and submitted this document (Registration Form A) to the St. Kitts Nevis National Carnival Committee, I am confirming that I have collected Registration Forms A and B, as well as, the Policy Statement containing the Rules and Regulations of the above referenced Competition. I also understand that to complete the Candidate Registration Process, I must complete and return Form B by the stipulated deadline. As such, this shows that I have read, understood, and agreed to participate in the National Queen Pageant and comply with the respective Rules and Regulations.
Candidate Signature:

Clear
Date:

Day Month Year
Date
Name of Parent/Guardian (if applicable):
Signature of Parent/Guardian (if applicable):

Clear
Name of Office Attendant Receiving Form:
Date of Receipt of Form A:

Day Month Year
Date
Office Signature:

Clear
Application Number
Should be Empty:

REGISTRATION FORM A — SKNNCC NATIONAL CARNIVAL QUEEN PAGEANT

PERSONAL INFORMATION