Miss CCI/Little Mister CCI 2022 Registration Form

First Name*

Last Name*

Contestant Age as of 1/1/2024*

Address Line 1

Address Line 2

City

State

ZIP Code

Contact Phone Number*

Email*

Parent (s) name if under 18

Contestant Date of Birth (proof of birth may be required at pageant checkin)*

Do you understand that all winners ages 5 and up must commit to a one year reign with monthly community service activities?

YesNo

By checking yes, you confirm that contestant (listed above) requirements as shown on the competition rules found at: https://misscirclecityindy.com/competition-rules

Yes

Do you currently hold any other pageant titles?*

How did you hear about our pageant?

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Competition Division:

My Products

Senior Pageant Entry: INCLUDES INTERVIEW, FORMAL WEAR, ONSTAGE QUESTION. PRIZES ARE DIVISION TITLE, SIDE AWARD ENTRIES (NOT OPTIONALS) AND ENTRY INTO DIRECTORS CHOICEAges 5 and up entry fee

$150.00

Junior Pageant Entry: INCLUDES ON STAGE COMPETITION (AGES 2+ ONSTAGE QUESTION), PRIZES ARE DIVISION TITLE, SIDE AWARD ENTRIES (NOT OPTIONALS) AND ENTRY INTO DIRECTORS CHOICEEntry Fee for ages 0-4

$65.00

OPTIONAL 1-Talent Entry (NOTE: You must pay contestant entry fee to participate)-only for Senior Pageant Contestants

$25.00

OPTIONAL 2-Photogenic Entry Fee: (NOTE: You must pay contestant entry fee to participate)

$25.00

OPTIONAL 3-Runway Competition Entry Fee: (NOTE: You must pay contestant entry fee to participate)Strut your stuff in your favorite outfit like the fashion models do! This is your chance to wear what you like and work the runway! All Ages eligible

$25.00

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Total

$0.00

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Miss Circle City Indy/Mister Circle City Indy Entry Form 2024

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