2026 Durbin Days Heritage Festival Queens Pageant Entry Form
Preteen, Teen, Queen Divisions
Contestant Full Name
*
First Name
Last Name
Age Division
*
Preteen (10-12) $40
Teen (13-15) $50
Queen (16-21) $75
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Parent/Guardian Name
*
First Name
Last Name
Age (As of 6/27/2026)
*
Grade (if applicable)
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School
*
Shirt Size
*
YS
YM
YL
YXL
AS
AM
AL
AXL
Other
Ambition/Career
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Honors/Awards
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Community Activities/Hobbies
*
3 words that best describe you?
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Why do you want to represent the Durbin Days Heritage Festival?
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Photogenic Picture
*
Upload a File
Drag and drop files here
Choose a file
Cancel
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Thank you for joining us for the 2026 Durbin Days Heritage Festival Queens Pageant!
I am so excited to share my first year as director with you all. Phases of competition are as follows: Private Interview, On-Stage Introduction, Event Promotion (Teen & Queen Only), Evening Gown and On-Stage Question. Any Questions feel free to Email me at kayleehalterman01@gmail.com or message our pageant Facebook page!
Contestant E-Signature (By typing your name you are authorizing an E-signature)
*
Parent/Legal Guardian E-Signature (By typing your name you are authorizing an E-signature) (Only required if contestant is under 18 years of age if not applicable put N/A)
*
How are you paying? (Have to pay entry fee before you are considered entered in pageant)
*
Check (Message/Email Kaylee for address)
Paypal (Message/Email Kaylee for Paypal information)
Submit Entry
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