The Mildred Johnson 2025 Mr. Juneteenth

Foundation
Presents The 18th Annual Mr. & Miss Mildred Johnson Juneteenth Pageant

Saturday, June 7, 2025 5pm-10pm Bay Area Community Center 5002 E. Nasa Pkwy. Seabrook, Texas 77586
Registration Application for Male Participants
Date

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Date
Upload a Photo of the Participant for Media

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Male Contestant's Name

First NameLast Name
Address

Street Address

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Postal / Zip Code
Birth Date

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Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Grade/Classification
Select the Competition Category below: Based on your age by the date of the Pageant (June 1, 2024) (The Juneteenth Pageant Committee reserves the right to adjust the category groups based on committed participation before the pageant competition)

This Statement is Understood and Agreed Upon:

By signing below, I/we expressly represent the child/adult 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

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 any other compensation shall become payable to me by reason of such use.
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Signature
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