MISS JUNETEENTH TAMPA BAY APPLICATION

MISS JUNETEENTH TAMPA BAY APPLICATION
Official Application Form
Applicant's Full Name
Applicant's Email
example@example.com
Address
Current Grade Point Average
What school do you attend and what grade are you in?
How old are you?
When is your birthdate? (Use Month Day Year format: June 9, 2022)

MonthDayYear
Date
PLEASE SELECT THE DIVISION YOU ARE APPLYING FOR:

Miss Juneteenth {ages 15-18}
What is your expected graduation date?

MonthDayYear
Date
What are your hobbies and interests?
Please list ALL social media accounts: (Facebook, Instagram, Tik Tok, etc NOTE: Failure to disclose this information may result in disqualification from selection).
PARENT/GUARDIAN INFORMATION & PERMISSION AUTHORIZATION
Name
Address
Phone
Emergency#
Email_
example@example.com
I agree that all information provided above is accurate. Any misrepresentation of the truth will cause immediate disqualifications from the competition. I understand the rules and regulations and hereby give permission for my daughter/minor to apply and compete in the Miss Juneteenth Florida State Pageant. I further acknowledge the mandatory meetings/workshop, rehearsal dates, and give consent for exclusive media use, (such as photos and videos captured), by the organization.
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
PLEASE UPLOAD YOUR ESSAY HERE:

Cancelof
Should be Empty:

PARENT/GUARDIAN INFORMATION & PERMISSION AUTHORIZATION