Queen of the Galaxy Entry Form
Contestant’s Name
First Name
Last Name
Age
As of April 12, 2025
Division
Please Select
0-12 month GIRLS
13-24 month GIRLS
25-35 month GIRLS
3 year GIRLS
BOYS 0-35 month
BOYS 3-5 year
BOYS 6 & UP
4-5 year GIRLS
6 year GIRLS
7-9 year GIRLS
10-12 year GIRLS
13-15 year GIRLS
16-19 year GIRLS
20 & UP GIRLS
Email
This will be our main method of contact.
Phone Number
If you do not respond via email, and we need to get in touch, we will use this method of contact
Format: (000) 000-0000.
Eye Color
Hair Color
Parents’ First names
Sponsored by
This can be family, friends, or businesses that paid the way for the contestant to compete. Sponsors will be announced while the contestant is competing. Only 2 sponsors.
What are the contestant’s future aspirations?
If you owned a spaceship, where would you travel to and why?
What does the contestant love most about pageants?
If you could have a superpower, what would you pick and why?
Do you want to take advantage of our Payment Plan?
Please Select
Yes
No
If you choose yes, details will be emailed to you ASAP with how to join!
Referred By:
The contestant who referred you will receive $25 in credit
Pay your NON-REFUNDABLE, NON-TRANSFERRABLE Payment Below with a card
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Pay Deposit
Must be paid with entry form submission
$
75.00
Pay in Full
ALL IN PACKAGE Entry Fee
$
375.00
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Hidden Field
Payment Method
Cash App
Credit/Debit Card
Apple Pay
Google Pay
Submit
Should be Empty: