OPEN HOUSE Seminar Reservation Form
HELLO! We are super excited to meet you. Please reserve your seat for the Open House Miss Juneteenth Informational and Registration seminar by completing the form below, specify the expected number joining the conference.
Please select the Virtual. Open House that you are attending.
Friday, NOV 10th @ 7 PM
Candidate Full Name
What high school do you attend?
How Old are you?
When is your Birthday?
Number of people attending *Must be accompanied by Parent or Guardian.
What is your Talent?
Gymnast, Dance, Music, Theatre, Sing, etc
How did you hear about the Miss Juneteenth Virginia Open Call Seminar?
Parent or Guardian's Full Name
Please enter a valid phone number.
Should be Empty: