2025 Miss Clark County Princess Weekend
Friday, November 7th and Saturday, November 8th. See payment information at the bottom of the form. Thank you!
Name
First Name
Last Name
Parent Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age
Grade
Please let us know of any food allergies
I give permission for my child's photo/video to be taken and posted on social media.
I acknowledge that an adult will attend Miss Clark County and is responsible for my child's behavior during the competition. If my child is disruptive to the competition (running around, not with an adult, screaming, etc.) I may be asked to leave. Younger children will be done before intermission.
Payment
Payment may be sent to Jessica Pitford @ 16671 CR 72, Kahoka MO 63445 or you may send to the VENMO account @ Jessica-Pitford. Account pictured below.
Submit
Submit
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