2023 Empowerment Academy Fall Pageant Application
Name
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First Name
Last Name
Age
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Date of birth
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Mailing address
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City
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State
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Zip code
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Email
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Phone
Registration and Optional Fees. Venmo your payment promptly to @Darcy-Castro. (All past Empowerment Academy participants are eligible for a $25 discount!)
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$149 Division registration
$25 Talent optional
$25 Academic, Service or Business Role Model optional
$25 2nd-hand Couture optional
$25 Fitness, Health & Wellness optional
$25 Fall Fun Fashion optional
$25 Photogenic optional
$25 Essay optional
$249 "All-in Package"
Do you identify as special needs or disabled and would like to be considered for the Miss Fall Sunset title?
Yes
No
What do you hope to gain from your Empowerment Academy Fall Pageant experience?
If you were referred to the program, please list their name here:
Agreement for Participation
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I will Venmo my pageant fees to @Darcy-Castro. I have read the Contestant Handbook & Agreement for Participation, and agree to abide by the rules as set forth by the Empowerment Academy and Darcy Castro Productions LLC.
Signature
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Submit
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