2026 Miss Juneteenth Central Texas Pageant Registration
Please complete the registration form below to confirm your interest in the 2026 Miss Juneteenth Central Texas Pageant program. Once reviewed, you will receive an official email with registration completion details.
Contestant Name
*
First Name
Last Name
Contest Date of Birth
*
-
Month
-
Day
Year
Date
Contestant E-mail
*
example@example.com
Contestant’s Age
*
Contestant’s Current Grade Level
*
Contestant Phone Number
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
This number will be used a point of contact for notifications.
Format: (000) 000-0000.
Parent/Guardian Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Division of Interest
*
Please Select
Mentee - Non Competitive
Little Miss - Elementary School
Jr Miss - Middle School
Miss - High School
Divisions will be confirmed based on DOB of the contestant.
Have you ever competed in Miss Juneteenth CTX before?
Yes
No
How did you hear about us?
If YES: Title held + Years of Participation
Are you willing to support rehearsals, workshops, and appearances?
*
YES
No
Are you interested in receiving the full registration packet?
*
Yes
No
Will you attend the Interest Meeting?
*
YES
No
I give permission for interest meeting photos/videos to be used for organizational/promotional purposes.
*
YES
NO
Submit
Should be Empty: