Contestant Information
Mississippi State Beauty Paperwork
Please complete each section below
Childs Name
Child's Date of Birth
Age on Pageant Day October 25
Parent / Guardian Name
Phone number
Email address
Home address
Contestant's Shirt size
Boys Division or Girls Division
EMCEE Card Information
Hair color
Eye color
Parent's Name
Siblings? If yes, how many of each
Favorite Food
Favorite Color
Favorite song or singer
Favorite movie
Favorite TV Show
Child (Under 21) What do you want to be when you grow up?
21 or over What is your occupation now?
Please initial underneath: Your registration fee is due at the time of submitting this entry. Without payment, your entry is void and will be not accepted.*(required)
Please Initial underneath: Polite, respectful behavior, and good sportsmanship isrequired of all contestants and guests at all times of the event and directlyafter. *(required)
Please initial underneath: Mississippi’s OLM will ONLY refund your entry fee in the event of our pageant being cancelled. If you cannot attend, please contact us ASAP.
Please initial underneath: In the event that your child / you win at state, in order to retain your title, crown, banner, robe, and scepter, you MUST move on to World Competition in January. If you do not do so, you will be required to required to return all of the items to State Headquarters and you will forfeit your title.
Sign here stating you understand
**If you chose to do registration deposit only today, Please enter the category from above that the contestant will be participating in.** (REQUIRED)
Continue
Continue
My Products
prev
next
( X )
Saturday Arm Bands
Entrance fee for anyone other than contestant (one chaperone included) over the age of 3. These are PRE-SELL ONLY. None sold at the door so please select as many as you will need. This covers all day Saturday.
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Theme Party Dinner Tickets
This covers your entrance and meal for the theme party Friday night. Contestant and one chaperone included in registration fees. Please select as many as needed for your family, anyone over the age of 3.
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Livin’ Doll
Beauty competition only.
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Should be Empty: