2025 Little and Junior Miss Indy Juneteenth Registration
CROWN H.E.R.
Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contestant Age
*
Contestant Date of Birth
*
Which Category Fits Your Child?
*
Little Miss Indy Juneteenth (Ages 7-12)
Junior Miss Indy Juneteenth (Ages 13-17)
Why do you want to participate in the Miss Indy Juneteenth Pageant?
*
What does Juneteenth mean to you?
*
Please upload a short introduction video (no more than 2 mins.)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Shirt Size
*
I agree to allow my child’s image to be used for promotional purposes. Parental Consent and Agreement
*
Yes
No
Sign for Parental Consent to allow child to participate in the 2025 Miss Indy Juneteenth Pageant.
*
My Products
*
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Miss Indy Juneteenth Registration Fee
This Fee is non-refundable.
$
40.00
Credit Card
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