2026 LaPorte County Fair Toddler Pageant Registration
Applications Due: July 10th by 11:59pm
Parent Contact Information:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
1. Child’s Name
First Name
Last Name
2. Child’s Date of Birth
*
* The child’s age at the time of the event will determine which division they compete in; please note that your child is not eligible if they have reached their 4th birthday on or prior to July 11th, 2026*
3. Who will be escorting the child? (Only 1 person)
4. Please write a short bio about the child. Please keep it 3 to 5 sentences long. This will be announced on stage:
My Products
*
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2024 Registration Fee
$30.00
$
30.00
Quantity
1
Age
< 12 Months
1 Year Old
2 Year Old
3 Year Old
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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