REGISTRATION FORM A — Miss Teen St. Kitts Nevis QUEEN PAGEANT

Miss Teen St. Kitts & Nevis (MTSKN)Queen Pageant

SUGAR MAS 55 REGISTRATION
PERSONAL INFORMATION
Candidate's Complete Name: (First, Middle Initial, Last):
Date of Birth: (dd-mm-yy)

DayMonthYear
Date
Place of Birth
St. Kitts/Nevis Citizen
St. Kitts/Nevis Legal Resident
Residential Address:
Home #:
Cell #:
Your Email Address
example@example.com
Weight (lbs):
Height:
(feet/inches)
Shirt Size:
Shoe Size:
Pant Size:
Hobbies:
Facebook Account:
School Information
Name of School
School contact number
School Email Address
example@example.com
Name of Principal
Principal contact number
Principal Email Address
example@example.com
Chaperone Information
Chaperone Name
Chaperone Contact Information
Account Information
Name of Banking Institution
Name on the Account
Account Number
Account Type
Upload Government approved photo IDs and proof of residency

Cancelof
Having signed and submitted this document, to the St. Kitts Nevis National Carnival Committee, I am confirming that I have submitted accurate information on all application forms.
Candidate Signature:
Date:

DayMonthYear
Date
Name of Parent/Guardian (if applicable):
Signature of Parent/Guardian (if applicable):
Name of Office Attendant Receiving Form:
Date of Receipt of Form A:

DayMonthYear
Date
Office Signature:
Application Number
Should be Empty:

Miss Teen St. Kitts & Nevis (MTSKN)Queen Pageant