Miss Jasper County Pageant
Contestant Registration Deadline: January 5, 2026
Contestant’s Name
*
First Name
Last Name
Contestant’s Date of Birth
*
Please select a month
January
February
March
April
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Month
Please select a day
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Day
Please select a year
2026
2025
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Year
Parent or Guardian Name
*
First Name
Last Name
Email Address
*
example@example.com
Contestant’s Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
T-Shirt size (this is included with the contestants registration)
*
0 - 3 months
6 - 12 months
2t
3t
4t
5t
Youth XS
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
List the name of the person that referred you to this pageant
*
First Name
Last Name
Age Division (Contestant MUST compete her age, day of pageant)
*
Infant Miss 0 - 11 months
Baby Miss 1 - 2 years old
Tiny Miss 3 - 4 years old
Little Miss 5 - 6 years old
Petite Miss 7 - 8 years old
Young Miss 9 - 10 years old
Junior Miss 11 -12 years old
Teen Miss 13 - 15 years old
Miss 16 - 18 years old (MUST be a resident of Jasper County)
Signature of Parent or Guardian
*
Registration, photogenic, & presale
*
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Contestant Registration
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Photogenic extra photos (only if you are entering more than 1 photo)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Presale Miss Jasper County t-shirt
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
XS
S
L
M
XL
XXL
XXXL
Presale Program books
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Presale door entry
$
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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