Queen/Teen/Preteen Application
2024 Clarksburg Winterfest Pageant
Application and payment submission deadline is September 15, 2024 at 11:59 PM.
Age Group
*
Please Select
Queen (Ages 16 - 21)
Teen (Ages 13 - 15)
Preteen (Ages 10 - 12)
Contestant Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number
Birthdate
*
-
Month
-
Day
Year
Date Picker Icon
Age
*
Please Select
10
11
12
13
14
15
16
17
18
19
20
21
As of January 1, 2025 for Queen or September 28, 2024 for Teen & Preteen
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Attending
*
for the 2024/2025 academic year
School Activities
150 character limit -
0/150
Three words that best describe you
Hobbies/Interests
150 character limit -
0/150
Future Plans
150 character limit -
0/150
Most interesting thing about you
200 character limit -
0/200
Greatest accomplishment in your life
200 character limit -
0/200
Tell us your favorite:
Food
Song
Color
Movie, TV Show or Book
Upload your headshot:
*
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Drag and drop files here
Choose a file
10 MB file size limit in .jpg or .jpeg format only
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I understand that:
*
I am required to submit my $125.00 entry fee via Paypal using the Friends and Family option to ckbwinterfestpageant@gmail.com and that my application is not complete until my payment is processed. (Check this option to show the SUBMIT button)
I understand that:
*
I am required to submit my $100.00 entry fee via Paypal using the Friends and Family option to ckbwinterfestpageant@gmail.com and that my application is not complete until my payment is processed. (Check this option to show the SUBMIT button)
I understand that:
*
I am required to submit my $75.00 entry fee via Paypal using the Friends and Family option to ckbwinterfestpageant@gmail.com and that my application is not complete until my payment is processed. (Check this option to show the SUBMIT button)
SUBMIT
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