Queen/Ms/Teen/Preteen Application
2024 Clarksburg Winterfest Pageant
Application and payment submission deadline is September 13, 2025 at 11:59 PM.
Age Group
*
Please Select
Ms (Ages 18-27)
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
22
23
24
25
26
27
As of January 1, 2025 for Queen or September 20, 2025 for Ms,Teen & Preteen
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Attending
*
for the 2025/2026 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:
*
Click to browse for file
Drag and drop files here
Choose a file
10 MB file size limit in .jpg or .jpeg format only
Cancel
of
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
Should be Empty: