Advocacy Queen Ambassador
We are excited that you have decided to participate in our first annual event February 1, 2025 in Seattle, WA. Please complete the registration form below.*One(1) form per participant.
Participant Name
*
First Name
Last Name
Parent Name (if participant is 17 or younger)
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Participant Birthdate
*
/
Month
/
Day
Year
Date
Age on February 1, 2025
*
Age Division
*
Please Select
Jr Pre-Teen (6-8 years)
Pre-Teen (9-11 years)
Jr Teen (12-14 years)
Teen (15-17 years)
Miss (18-26 years)*
Ms. (27-59 years)*
Senior (60+ years)*
*May be married/divorced/widowed
How did you hear about this experience?
*
Fundraising Award Opportunity
*
Duchess Award - Fundraise: $100-$499
Princess Award - Fundraise: $500-$999
Supreme Queen Award - Fundraise: $1000+
I will not be fundraising
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Participant Emcee Card
Information below will be used during the live event while you are modeling Evening Gown.
Favorite AQ Value
*
Please Select
Equality
Accountability
Respect
Courage
Strategy
Empathy
Visit www.advocacyqueen.org About AQ page for more information on each Core Value.
Why did you choose that Core Value?
*
0/40
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I have read, understand and agree to the guidelines provided to me.
*
My Products
*
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REGISTRATION
$100.00 - Registration: Includes All Events and one(1) Chaperone/+1 Badge
$
100.00
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Divisional Optionals
1. Best Advocacy Response Statement 2. Best Advocacy Response Appearance 3. Best "My Why" statement 4. Best Evening Gown *Will be awarded in EACH division.
$
50.00
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Cover Model
Winning photo will be printed on the COVER of AQ Program Magazine! *Up to three(3) PROFESSIONAL photos may be submitted. (All participants will be printed in a collage on back of program magazine.)
$
25.00
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Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cover Model Photo Submissions
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