Lords and Ladies Pageant Registration
NAME*
*
AGE*
*
SCHOOL
INTERESTS
WILL YOU PARTICIPATE IN TALENT PORTION OF EVENT?
Yes
No
If you answered Yes, what type of talent?
WILL YOU BE PARTICIPATING IN THE COSTUME CONTEST?
Yes
No
PARENT'S NAME*
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
-
Area Code
Phone Number
Work Number
-
Area Code
Phone Number
EMAIL
*
Rules and Regulations
As a contestant, I agree to participate and adhere to all rules and regulations governing the pageant/contest and agree and grant permission without limitation to the use of my photos, images, and or video to promote the event in any present or future TV, internet, newspaper, magazine, business card, and any other form of publicity and or publications. As a contestant, I agree to attend all events and rehearsals of the pageant and be on time. I must provide a contact number, email address or other form of communication so that I am aware of all event dates and times. I agree to sell a minimum of ten event admission tickets priced at $10 each. I fully release and waive all claims of the Miracle League of El Paso, and any of the authorized staff or volunteers as well as their designated representatives and sponsors from any Liability resulting from any accident or incident during the pageant or any event leading up to the pageant.
Signature
*
Submit
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