Ultimate Junior Miss
Ambassador Application
Email
example@example.com
Phone Number
Please enter a valid phone number.
Parent's Name
First Name
Last Name
Child's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age Divisions
Please Select
Baby (2-4)
Tiny (5-7)
Pre-Teen (8-10)
Jr. Teen (10-12)
Teen (13-17)
Miss (18-24)
What is your child's social cause?
Why would you like to represent as an Ambassador with UJM?
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UJM Ambassador Application Fee
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
I, undersigned, agree with the following terms & conditions:
Eligibility: Participants must meet the age and gender requirements for their respective divisions.
Registration: All contestants must complete registration and pay the required entry fee and deposit by the deadline..
Entry Fee: Contestants are responsible for the entry fee as specified in the pageant details.
Conduct: Unsportsmanlike behavior will not be tolerated and may result in disqualification.
Crown Awards: All winners will receive a crown, and princesses will receive a tiara.
Door Fees: Attendees are required to pay a $5 door fee per person, with children under 5 admitted free.
Winners will have additional opportunities throughout the year as Miss Georgia Pride royalty.
Date
-
Month
-
Day
Year
Date
Signature
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Submit
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