2025 WVCRF Pageant Application Queens Pageant

2025 WV Country Roads Festival Pageant Contestant Application
Before submitting your registration, please review the Pageant packet completely. (view link below)

Hi! Thank you for your interest for competing in the WV Country Roads Festival Pageant. The pageant this year will be held on March 22, 2025 at 6pm at Magnolia High School in New Martinsville. The pageant is open statewide to all WV females. If chosen as the titleholder for your age division, you will be required to attend the WV Country Roads Festival September 19, 20, 21st. All winners will be required to sign a contract along with other duties & appearances to represent the WV Country Roads Festival throughout the year. After reviewing the pageant information packet and verifying that you understand them, please proceed with your registration.
Pageant information linked below. Please read. (copy link into new browser- hyperlink wont work in jotform)

https://docs.google.com/document/d/1bHimWApAF5jsd-33QrTSnvt5SbODlK61w3u70jMCIj8/edit?usp=sharing
Contestant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent/ Guardian name(s) (if applicable)

First NameLast Name
Spouse's name (if applicable)

First NameLast Name
Date of Birth*

MonthDayYear
Date
Current Age*
Division*

Junior Miss (7-9)Preteen (10-12)Teen (13-15)Miss (16-21)Ms (18+ unmarried)Mrs (18+ married)
Color of Hair*
Color of Eyes*
School/ Education or Employment*
Community Involvement*
Achievement & Honors*
Ambition*
Three words to best describe you*
Favorite food(s)*
Submitting Payment:*

Paypal: jamicrawford11@gmail.comVenmo: @jamicrawfordCashApp: $jamicrawfordMailing Check: must be postmarked by March 8th
Please upload your headshot here: *

Cancelof
Medical Release Form

I, First Name*   Last Name*   , give my permission to Jamison Crawford, WV Country Roads Festival Director, to have me/my daughter treated by medical personnel if an emergency arises on March 23, 2024 or during any other WV Country Roads Festival activities. I will not hold Jamison Crawford or any WV Country Roads Festival Committee member, Board of Education or the City of New Martinsville responsible for any accident. I can be reached by telephone at   Area Code*   Phone Number*   .

Provided is my insurance information:

Insurance Company:   Company Name*
Policy Holder:   First Name*   Last Name*

Known Allergies:   List or enter N/A

Signature:
Signature*
Date*
Contestant Signature (18+) (parents sign if under 18)*

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Date*

MonthDayYear
Date
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2025 WV Country Roads Festival Pageant Contestant Application

Before submitting your registration, please review the Pageant packet completely. (view link below)

Pageant information linked below. Please read. (copy link into new browser- hyperlink wont work in jotform)