Miss & Mr Extraordinaire Pageant

Miss & Mr Extraordinaire Pageant

Presented by Spanish Fork City Little Miss
The Miss & Mr Extraordinaire Pageant is open to area residents under 18 years old with adaptive needs. The program is designed to provide opportunities for those with adaptive needs to be recognized AND perform on stage.

The event will include a production number, talent category, and evening wear. Each contestant receives a t-shirt, trophy, as well as a crown and sash.

The pageant will be held on Saturday, July 19 at 7:30 p.m. on the stage outdoors at City Park during Fiesta Days.

There is no fee to participate in the pageant. Registration is limited to 15 contestants.

The program is sponsored by Lynn Grace, Spanish Fork Little Miss, and the Spanish Fork RAP grant. For more information, please contact Raychellene Talbot, Little Miss Spanish Fork Director, at littlemiss@spanishfork.gov. Registration deadline is July 8 at 5:00 p.m.

Thank you to our sponsor Lynn Grace
Contestant Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Participant Age*
Please select one *
Participant Talent. Talent is limited to two minutes.*
Will you have music playing with your talent?*

YesNo
Do you need to use a weighted keyboard for your talent?

YesNo
Participant Shirt Size*

Youth Extra SmallYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult Extra LargeAdult 2XLargeAdult 3XLarge
Please upload a photo of the participant to help put the name with the face (photo optional).

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Is there any special assistance that is needed or that we need to know about?
Liability Release/Waiver

The protection of Applicant's property and person is the sole absolute responsibility of Applicant. In Consideration for performance time and for other good and valuable consideration the Applicant hereby waives and releases the City and its agents, employees, representatives, elected and appointed officials etc. from any and all injuries, claims, damages, or other consequences suffered by Applicant as part of the Celebration.

VIDEO & PHOTOGRAPHY NOTICE: Spanish Fork City records all city events and broadcasts them on Spanish Fork 17, Spanish Fork YouTube, and city social media pages. Spanish Fork City also takes photographs at each event and uses them for promoting and advertising. By registering for events, you understand and consent to your image and sound being included in video, audio, or photography taken by Spanish Fork City and that such video, audio, or photography may be published on television, YouTube, and social media.
Signature*

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