Miss Juneteenth Scholarship Pageant Registration

Pageant Registration Form

DEADLINE: March 7, 2025
Contestant Name*

First NameLast Name
School*
Grade *
Age*
Contestant Cell#*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name *

First NameLast Name
Parent Cell#*
Parent Email*
Registration Fee: $20.00 (non-refundable)*
Select form of payment
Registration Deadline: March 7, 2025
Mail Form & Fee to: MJSP, P.O. Box 1065, Richland WA 99352
For more info contact Elouise Sparks (509) 546-1573 or LaQuita Thornton (509) 845-1094
Should be Empty:

Pageant Registration Form