REGISTRATION FORM A — Miss St. Kitts Nevis QUEEN PAGEANT

MISS ST KITTS NEVIS QUEEN PAGEANT SUGAR MAS 54 REGISTRATION
PERSONAL INFORMATION
Candidate's Complete Name: (First, Middle Initial, Last):
Biological Gender

MaleFemale
Date:

MonthDayYear
Date
Date of Birth: (dd-mm-yy)

DayMonthYear
Date
St. Kitts/Nevis Citizen

YesNo
St. Kitts/Nevis Legal Resident

YesNo
Your Age by date of this Event(December 19, 2025):
years
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)
Employer Information
Employment Institution
Occupation
Address
Contact Number
Email Address
Chaperone Information
Chaperone Name
Chaperone Contact Information
Account Information
Name of Banking Institution
Name on the Account
Account Number
Account Type

SavingsChequing
Upload Government approved photo IDs and proof of residency

Cancelof
Having signed and submitted this document, to the St. Kitts Nevis National Carnival Committee, I am confirming that I have submitted accurate information on all application forms

It also means that I have read and agree to comply with the Rules and Regulations outlined in the Policy Statement for the National Carnival Queen Pageant
Candidate Signature:

Clear
Date:

DayMonthYear
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:

DayMonthYear
Date
Office Signature:

Clear
Application Number
Should be Empty:

MISS ST KITTS NEVIS QUEEN PAGEANT SUGAR MAS 54 REGISTRATION

PERSONAL INFORMATION

Employer Information

Chaperone Information

Account Information