Miss World of Wheels Entry Form

Miss World of Wheels Entry Form
Contestant Name *

First Name Last Name
Date of birth *

Month Day Year
Date
Age Division *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Parents *
Mom's Facebook Name *
Siblings
Hobbies
Ambition
Sponsored by
Referred by
I hereby agree not to hold the director, staff, or facilities liable for any injury or loss incurred. I agree that good sportsmanship is required and understand that I will be asked to leave with no refund if I refused to abide by the rules. *

Clear
Submission of this form does not complete your online registration unless accompanied by you entry fee. You may paypal ultimatefacepc@aol.com or venmo @Gena-Ruso.
Should be Empty: