Little & Junior Miss Lumbee Pageant Application 2023
GENERAL INFORMATION
Name
*
First Name
Middle Name
Last Name
Mother's Name
*
First Name
Middle Name
Last Name
Father's Name
*
First Name
Middle Name
Last Name
Category
*
Little Miss
Junior Miss
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Address
*
Street Address
Mailing Address (if different than above)
City
State / Province
Postal / Zip Code
Email
*
Please use an email you check regularly.
Parent Mobile Phone Number
*
-
Area Code
Phone Number
ADDITIONAL INFORMATION
If a question doesn't apply to you please type N/A
List Hobbies/Interests
*
List Awards/Accomplishments
*
List Community Service /Volunteer Experience
*
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Education/Future Plans
If a question doesn't apply to you please type N/A.
What is the name of your school ?
*
What grade are you currently in?
*
Favorite Subjects
*
Cultural Experience
*
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Talent Information
Talent
*
Dancer
Singer
Monologue
Other
Song /Music Title
*
If you are not sure yet, list it as undecided. The first contestant to submit their application will have a preference for song choice if more than one person chooses the same song.
Give a detailed description of your talent.
*
Type of equipment you will need: NO PROPS ALLOWED
*
Handheld Microphone
Microphone with stand
Piano
Piano with Accompaniment
Other
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Required Documents
Please upload the following documents. 1. Proof of Tribal Enrollment ( PDF, JPEG, or PNG file) 3. One Page Essay (WORD or PDF file only) 4. Birth Certificate (PDF, JPEG, or PNG file)
Proof of Tribal Enrollment
*
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Picture of Tribal Enrollment Card or Certification Letter. You may use the parent's card if the applicant does not have an enrollment card but a biological parent does. JPEG, PNG, or PDF, please.
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One Page Essay
*
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The essay should be typed double-spaced with Times New Roman 12pt. font.
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Birth Certificate
*
Browse Files
PDF, JPEG, or PNG files, please.
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Contestant Agreement
I agree not to hold the Lumbee Regional Development Association or any organization, facility, or board member associated with this event liable for any loss, injury, theft or otherwise occurring before, during, or after participation in this event. I agree to abide by Little and Jr. Miss Lumbee Pageant rules and decisions. I agree that I will not pursue legal action against Lumbee Regional Development Association or any organization, facility, or board member associated with this event or its members in any form. I agree to allow my photo to be used in future Little and Jr. Miss Lumbee Pageant advertising/promotions. Furthermore, I agree to allow my family or my child to be videotaped or photographed during the show to be published by public media including but not limited to local newspapers and television. I also agree to fully participate in any and all activities associated with being a contestant and the pageant including but not limited to riding the Lumbee Homecoming, Little and Junior Miss Lumbee Float in parades. If I win the event, I will participate in the events throughout the year as a Lumbee Ambassador. I also understand that if I am chosen the winner, there will not be a "Farewell Walk" but an abbreviated farewell acknowledgment the night the title is passed to the new winner. The contestant’s relatives and or friends are prohibited from harassing or intimidating Judges or Auditors prior to any pageant. This will result in immediate contestant disqualification! Also, harassment of any judge or auditor after a pageant will be grounds for LRDA not to permit the respective contestant to participate in any future pageant or any related LRDA activity.
Applicant Signature
*
Parent Signature
*
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Application Fee
Please choose your method of payment. You can pay now or choose to mail or drop off your payment to LRDA by the application deadline. PLEASE NOTE: Applications are not considered valid until payment is received. CHECKS DROPPED OFF AT LRDA MUST BE IN A SEALED ENVELOPE ADDRESSED TO THE ATTENTION OF CRYSTAL STRONG, PAGEANT DIRECTOR WRITTEN ON THE FRONT. MAILED CHECKS SHOULD BE MAILED TO LRDA ATTENTION: CRYSTAL STRONG P.O. BOX 68 PEMBROKE, NC 28372 If you choose to mail or drop off option skip payment details and just select submit to send your application.
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Application Fee
Payment Option
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Mail Payment
Drop Off Payment
Pass to payment
Application Fee
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