2023 Miss Lake Villa Pageant Application

General Information
Name*

First NameLast Name
Email*
Phone*
Date of Birth*

MonthDayYear
Age*
Please indicate your age division*

Miss (16-21)Jr Miss (11-13)Little Miss (6-8)
Address*
School*
Year in School (as of Fall 2023)*
Parent or Guardian Name(s)*

About Me
Activities, hobbies, special interests, talents*
What is the best advice you have received? ("Miss" and "Jr" Miss Applicants Only)*
If you're a "Little Miss" applicant, please respond "N/A" and answer the question above.
Special honors, awards, major accomplishments*
Career plans ("Miss" applicants only)*
If you're a "Jr" or "Little Miss" applicant, please respond "N/A" and tell us what you'd like to be when you grow up in the next question.
What do you want to be when you grow up? ("Jr" and "Little Miss" applicants only)*
If you're a "Miss" applicant, please respond "N/A" and answer the question above.

Application fee payment options

Submitted applications are not valid until the $75.00 application fee is paid. We will send you the application fee mailing address via email 48 hours following your online application submission.
Please indicate how you plan to submit the 75.00 application fee:*

CashCheck (checks payable to Miss Lake Villa Pageant)

Participation consent
By signing below, I agree that I meet all of the eligibility requirements to be a participant and agree to abide with all the rules set forth in the 2023 Official Rules, Guidelines, and Information according to my age division.
Contestant signature*

Clear
Parent or guardian signature (if contestant under 18 years of age):

Clear
Contestant Photo Upload (MANDATORY)

Cancelof
Should be Empty:

2023 LAKE VILLA PAGEANT APPLICATION