Empowerment Academy 2022 Spring Pageant Application
Date of birth
Registration and Optional Fees. (You will receive an invoice for payment after application is processes and upon acceptance into program.)
$150 Pageant registration
- OR - $150 Miss Spring Sunrise registration (A division specifically for women that identify as special needs or disabled, if you desire to compete for this title - Not Required!)
$25 Academic, Service or Business Role Model
$25 2nd-hand Couture
$25 Fitness & Wellness
$80 1-hour coaching session
$350 "All in"
Please describe any accommodations you may need:
List three things about you. Can be interests, facts or accomplishments.
Name of parent or legal guardian (if under the age of 18)
Agreement for Participation
I have read the Contestant Handbook & Agreement for Participation, and agree to abide by the rules as set forth by the Empowerment Academy.
Signature (Must be signed my legal guardian if under age 18)
Should be Empty: