Empowerment Academy Signature GOLD Program Application

Empowerment Academy Gold Signature Program Application
Name*

First NameLast Name
Age*
Updated mailing address, if changed
Email*
Phone
Registration Fees. (Fees payable via PayPal to info@darcycastro.com.)*

I will pay the $200 deposit, and the $150 remaining fee within 60 days.I will pay the $350 total fee.
What was the best part of your initial Empowerment Academy Signature Program experience:
What are you goals for the next year?
Are you registered or have plan to register for a pageant within the next year? If so, list the name of the system and dates of the competition.
Are you currently under a non-compete contract with another pageant system? (No worries, we can work around this!)
What are you goals for the Gold level experience?
Please describe any accommodations you may need:
Contractual Agreement for Participation*

I have read the Contractual Agreement for Participation, and agree to abide by the rules as set forth by the Empowerment Academy.
Signature*
Should be Empty:

Empowerment Academy Gold Signature Program Application