2021 Henry County Fair Pageant

2021 Henry County Fair Pageant

Entry form for Miss (ages 16-21), Jr Miss (ages 11-14) and Little Miss (ages 5-7). The Pageant will be held on June 22 and is open to females residing in or attending an elementary, jr high or high school in Henry County, IL. **Due to the pageant being cancelled last year and allowing the girls that signed up last year to automatically be entered this year, there are only a small amount of open spot seats in Little Miss and Jr Miss. The number of contestants for Miss Henry County Fair is unlimited.
Which division are you entering? *
Contestant’s Name *

First Name Last Name
Parent’s names as you would like them announced *
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number- contestant (if applicable) *

Area Code Phone Number
Phone Number- parent *

Area Code Phone Number
Birthdate *

Month Day Year
Date
Height- please measure *
Name of sponsor- (can be a business, organization or individual). $40 sponsor fee is non-refundable and must be received by the pageant director within one week of submitting this form to hold your spot. Payment can be sent via Venmo to @Kelli-Patton or mailed to Kelli Patton PO Box 63 Atkinson, IL 61235. *
T-shirt size *
Upload a photo of the contestant- Any photo is fine. This picture will not be used in the pageant program. *

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