New Customer Registration Form

contestant info:

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / 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*

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*

Do you wish to receive your scores after the pageant via email?*

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.*

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.

Xmas in July pageant registration w/ card fee

$32.00 Quantity

Total

$0.00

Credit Card

2026 Moonville Xmas in July Pageant

Credit Card