Lafayette County Pageant Registration Form
August 23, 2025 @ 6 pm. 14 + divisions must be a Lafayette county resident to compete (address)
Contestant Full Name
*
First Name
Last Name
Age
*
Date of birth: (mm/dd/yyyy)
*
Age division competing in:
*
0-11 month
12-23 month
2-3 year
4-5 year
6-8 year
9-11 year
12-13 year
14-17 Junior Miss
18-23 Miss
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Parents/gaurdians
*
School name:
*
Practice will be Sunday August 17 at 2 pm for all contestants. If not, a stage guide will be posted
I will be there
I will NOT be there
Contestants are highly encouraged to attend our parade that will take place Saturday at 2 at the Stamps football field, you may show up as early as 12:30 to decorate there, the day of the pageant. The rotary club in previous years has awarded prizes for cars/trucks and floats. (See Facebook page for info posted soon) Please include CONTESTANT NAME, AGE DIVISION, ON BOTH SIDES OF VEHICLE
*
I am participating in the parade
I will not be participating in the parade this year
All contestants are required to pay a registration fee of $40 when submitting this form. Photogenic (optional) is $5 (please mail an 8 x 10 photo to 1320 CR 27 Waldo, Ar 71770), there will also be a PEOPLES CHOICE vote taken the day of competition, it will be $1= 1 vote for the contestant of your choice.
*
I agree
If any issues, questions, comments, or concerns please call or text our director Camryn Pratt 870-953-1805
I understand
Please send registration payment to one of the following after submitting this form (contestant will not be registered until payment is received) please let me know below which payment option you will be using. Please when sending payment include: CONTESTANTS NAME & AGE DIVISION.
*
Cashapp- $cmpratt7467
PayPal- prattcamryn0@gmail.com
Venmo- @cmpratt7467
Apple Cash- 870-953-1805
I will bring cash to practice
Submit
Should be Empty: