The Mildred Johnson Miss Juneteenth Pageant

Please drop a headshot photo of the Contestant in this area (it will be published in the digital program booklet)
Parent/Guardian Name

First NameLast Name
Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

This Statement is Understood and Agreed Upon:

By signing below, I/we expressly represent the child listed here and herein release The City of Houston, The Houston Sun Foundation, managers, sponsors, volunteers, and/or assignees from all claims including acts of God; I/we further warrant to obey all rules, regulations and laws of the event and City of Houston. This is a family-oriented community event. Persons with obscene/explicit clothing materials, and offerings are asked not to attend. The Houston Sun Foundation reserves the right of refusal of service and/or expulsion from the event without recourse. Additionally, Parents/Guardians of Participants must attend all training sessions prior to Pageant. Parents/Guardians grant participants visible participation in photographic and digital images to be used by the Pageant.
Signature*

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Date

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Date

Photo/Video Release Form

I, grant The Mildred Johnson Mr. & Miss Juneteenth Pageant permission to use the photographs/videos described as Juneteenth Pageant-related photographs for any legal use, including but not limited to publicity, copyright purposes, illustrations, advertising, and web content. Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me because of such use.
Name

First NameLast Name
Signature

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Date

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How did you hear about the opportunity to participate in the Juneteenth Pageant?

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Foundation