2026 Moonville Xmas in July Pageant
7/11/2026
contestant info:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
date of birth
*
Parents/ Guardians names if under 18:
Age Category
*
Please Select
Baby miss 0-4
Little Miss 5-8
Junior Miss 9-12
Teen miss 13-16
Miss 17-21
Ms (unmarried) 22 & up
Mrs (married) 18 & up
Interests/ Hobbies:
Awards/ Achievements:
Education: (school, grade, college, etc.)
employment if applicable
I understand I have to pay the registration fee of $30 by 7/1/2026
*
Please Select
yes
Do you wish to receive your scores after the pageant via email?
*
Please Select
yes (allow 14 business days to receive)
no thank you
Moonville Xmas in July Pageant is under the direction of Miss Moonville: Release and Waiver by Applicant of age 18 or older and/or parent or guardian of minor child, give permission to the Miss Moonville pageant and committee to use my name/ my childs name and/or photograph on the internet, newspaper and other medias for Miss Moonville. This may include groups or individuals. We will publish photographs and written names with only your written permission. By signing this form, I am Giving Permission to the Miss Moonville Pageant and Committee. The Miss moonville Pageant, Committee and Pageant Venue will not be held liable for any accidents or incidents that occur at the event. By signing below, you agree to hold the Miss Moonville pageant, Committee and venue harmless against any accidents or incidents that may occur, and you agree to the rules and regulations defined by the Miss Moonville Committee. By selecting "I agree" below, I the adult applicant, parent or guardian of a minor child am consenting to all of the above.
*
Please Select
I agree
You can pay here with a card or you can mail your payment to 62067 Locker plant rd, mcarthur oh 45651. Please make it payable to miss moonville.
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Xmas in July pageant registration w/ card fee
$
32.00
Quantity
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Credit Card
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