2026 Mr & Miss Juneteenth of Southern Illinois Scholarship INFORMATIONAL MEETING👑👑

2026 Mr & Miss Juneteenth of Southern Illinois Scholarship INFORMATIONAL MEETING👑👑

REGISTRATION FORM (Students 1-27)
Contestant Name:

First NameLast Name
Birthday

MonthDayYear
Date
How old will you be by 6/20/26?
Gender:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School Name: (If age appropriate)

Street Address

CityState / Province

Postal / Zip Code
Contestant or Parent Email
example@example.com
Parents Names:
Parents Contact Numbers:
What grade are you in?
Have you been in a Pageant Before?
Are you involved in any Sports or Clubs?
Are you married?( if so you’ll be in the MRS JUNETEENTH DIVISION not MISS)
Hi I am your Director MsBREE🙂

👑NO FEES ARE DUE until the 2nd Practice. HOWEVER, THOSE WHO SIGN UP by 5/31 GET $10 off the entry fee🎉

👑AGES 1-27

👑FORMER CONTESTANTS also GET $10 off every year that you return🎉

👑DEADLINE TO REGISTER IS 6/4

👑Practices schedules will be given out

👑👑PAGEANT DAY IS NOT UNTIL JUNE 20th at John A Logan College

-Text/Call/Email me for any questions: 618-534-6221/ JuneteenthPageant@yahoo.com or CoachMissBree@gmail.com

-NO ENTRYS FEE ARE DUE at this meeting. This meeting is to go over all paperwork, answer all questions for potential Contestants to decide if this is a good fit & to see how practices will run every week

Boys: Mr Dee Williams will be at your practices as welll. Yours is a program not a pageant. This program focuses on the importance of brotherhood, positive leadership and professional development.
I understand that is INFORMATIONAL MEETING/Practice on 6/2 & 6/4 at 5pm at John A Logan College Auditorium and that no fees are due at this time.
Our Goal is to crown students of our Region that inspire to be LEADERS AND WANT TO help SET an EXAMPLE FOR POSITIVE REPRESENTATION AND PROFESSIONALISM WITHIN OUR COMMUNITY. Students that understand the importance of a UNITY and understand the importance of higher education!🎓🎓🎓🎓🎓📚📚📚📚📚

PRACTICE TIMES & LOCATIONS will be given DURING THIS MEETING
I understand that the actual Pageant Show Day isn’t until June 20th at John A. Logan College and I understand that the deadline to sign up is 6/4/26.
I fully understand that videos/photos will be taken at Meetings, Practices & on Pageant Day to be used for promotional purposes for the Pageant:
If you did not enter your phone at the top please go back up and do so that way I have a way to contact you.
Text me for any questions 618-534-6221 and save my number
Should be Empty: