Little Miss Bohemia City

Little Miss Bohemia City

Please fill out this form to apply for Little Miss Bohemia City and provide your details, preferences, and consent. Applicants must be a resident of Cottage Grove and ages 4-12. On the day of the pageant participants are encouraged to wear costumes (i.e. Pioneer, prospector, Bohemia-themed character).
Applicant's Full Name

First NameMiddle NameLast Name
Parent/Guardian's Full Name

First NameLast Name
Parent/Guardian's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does the parent/guardian phone number accept text messages?
Parent/Guardian Email Address
example@example.com
I hereby permit the use of photographs taken during Little Miss Bohemia City to be used for the website and Facebook page.
About You
Hair Color
Eye Color
Age on Day of Pageant
Grade in School (Fall 2026)
What do you want to be when you grow up?
What do you like to do for fun?
What is your favorite food?
List three (3) things that make you special and unique.
What is your favorite thing to do on a sunny day?
Should be Empty: