2027 National Registration Form
Fill out the form carefully for registration to Ultimate Gems Nationals April 23-25, 2027 Nashville, TN
Contestant Name
First Name
Middle Name
Last Name
Gender
Please Select
Male
Female
N/A
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
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11
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14
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20
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25
26
27
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30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Hair Color & Eye Color (be descriptive)
Age As of December 1, 2026 ( if 0-11m or 12-23m please enter age in Months)
Please Select
0-11M
12-23M
2yr
3yr
4yr
5/6yr
7/8yr
9/10yr
11+
Dazzling Gems
Boys
20+
Clothing Size (enter as close as possible)
Please Select
Baby Size 0-12M
2T
3T
Youth XS (4/5)
Youth S (6/7)
Youth M (8/9)
Youth Large (10/12)
Youth XL (12/14)
Adult S
Adult M
Adult L
Adult XL
Parent / Guardian Name
First & Last
Facebook Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Parent E-mail
example@example.com
Number of Wristbands Needed (None Included $35)
Amount of Deposit Paid
If on Payment Plan type: PAYMENT PLAN
Package Special (Select “other” if none apply)
Please Select
$795 Package enter before 10/16
$895 Package entries 10/16-12/25
$995 Package entries 12/26-3/15
All in Package $1095
What makes you shine?
Upload a Photo of your contestant Below (Photo may not be changed)
*
I hereby understand that my $100 deposit paid to Universal Gems LLC is non refundable and non transferable. In the event I can’t make the event, I understand that I forfeit this deposit and any fees paid.
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