Madam Wob Dwiyet Pageant 2026

1

GUIDELINES FOR PARTICIPATING IN THE PAGEANT:

The applicant must have NO criminal record or is the subject of pending criminal proceedings whether in or out of Dominica.

The applicant is fifty (50) years or older

PLEASE NOTE A VALID POLICE RECORD SHOULD BE SUBMITTED ALONG WITH A
PASSPORT SIZE PHOTOGRAPH AND A FULL BODY ONE AS WELL AS THIS COMPLETED
REGISTRATION FORM

2

Have you competed in the National Madam Wob Dwiyet Pageant before?

YESNO

3

Name* This field is required.

First Name

Middle Name

Last Name

4

Date of birth* This field is required.

Date

5

AddressSouth ( Bellevue Chopin to Petite Savanne) South West ( Fond Cole to Scotts Head, Roseau Valley) West ( Canefield to Dublanc, Canefield to Belles) North ( Portsmouth to Capuchin, Portsmouth to Bense) North East ( Calibishie to Concord ) East ( Kalinago Territory to Petite Soufriere) South East ( Grand Fond to Delices)

Address

District

Country

6

Email

example@example.com

7

Phone Number* This field is required.

Please enter a valid phone number.

8

Name of Emergency Contact

First Name

Last Name

9

Phone Number of Emergency Contact

Please enter a valid phone number.

10

Please state if you have any allergies or specific dietary needs

11

Have you participated in any other pageant?

YESNO

12

If yes please indicate ( the name of pageant , the year and placement in that pageant)

13

Please indicate your current work status

Student

Employed

Unemployed

Self Employed

14

Please indicate name of employer or education institutionPlease include address, name of supervisor or head of department

15

Education HistoryWhat schools did you attend?

16

Proposed Performing Talent

Dramatic Presentation

Dance

Vocal Performance (Singing)

Instrumental Performance

17

What is your life goal?

18

Why do you want to participate in this pageant?

19

What are your hobbies?

20

Please include a biography that will be used for online publication and media interviews

21

Name of Chaperone

First Name

Last Name

22

Chaperone Contact Number

Please enter a valid phone number.

23

Chaperone Email

example@example.com

24

File UploadUpload photograph ( Headshot or Full body)

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Max. file size: 10.6MB