Crowned Stories Spotlight Application 👑
Nominate Yourself for Crowned Stories
Queen Details:
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Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Instagram Username(Example: @its_jojob) TikTok Username(Example: @itsjojob
*
Surgery Date
 -
Month
 -
Day
Year
Date
What’s Procedure did you get?
Please Select
Gastric Sleeve (VSG)
Gastric Bypass (RNY)
Duodenal Switch (DS)
SADI-S
Lap Band
Revision Surgery
Other
What has bariatric surgery given you besides weight loss?
What are you most proud of today?
What’s your biggest non-scale victory?
Favorite Bariatric Brand
Favorite Bariatric Snack
Bariatric Surgeon
Upload 3 Photos 1.Headshot. 2.Lifestyle Photo 3.Transformation Photo (optional)
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I agree to allow BariatricCon Pageant to use my submitted photos, story, and responses for Crowned Stories features, social media, website content, and promotional materials.
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