2026 Red White Blue Pinup Pageant Registration Form

2026 Red White Blue Pinup Pageant Registration Form

Standard online registration form based on the provided PDF. Complete all contestant, payment, eligibility, agreement, and staff review fields as extracted.
Contestant Information
Full Legal Name

First NameMiddle NameLast Name
Pinup / Stage Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City / State / ZIP
Emergency Contact
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Military Service Information
Military service branch
Military service rank
Separation or retirement date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Registration and Package Payment
Required contestant registration
Required contestant registration - payment status
Event photographer fee
Event photographer fee - payment status
Optional-category package - all four categories
Optional-category package - payment status
Total selected amount
Total selected date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Payment method
Payment confirmation/reference
Eligibility Initials
23. I certify that I am eligible to compete in the 2026 Red White Blue Pinup Pageant and that the information provided in this registration form is true and complete.
24. I understand that I must comply with all pageant rules, regulations, and instructions issued by the organizers and event staff.
25. I acknowledge that failure to comply with pageant rules may result in disqualification or removal from the competition.
26. I confirm that I meet all age, residency, and other eligibility requirements for participation in this event.
27. I understand that any false statement or omission of required information may void my registration or participation.
28. I certify that I am participating voluntarily and at my own choice.
29. I acknowledge that the organizers may use photographs, video, and other media taken during the event for promotional purposes.
30. I understand that participation in the pageant involves inherent risks, including but not limited to injury, illness, or property loss.
31. I assume all risks associated with my participation in the pageant and related activities.
32. I agree to follow all safety instructions provided by event staff and venue personnel.
33. I understand that I am responsible for my personal belongings and any associated costs not covered by the registration package.
34. I certify that I have disclosed any relevant medical or physical limitations that may affect my participation.
35. I understand that the organizers reserve the right to modify schedules, formats, or event details as needed.
36. I acknowledge that I have read and understand the eligibility requirements and pageant rules.
37. I agree that my initials below indicate acceptance of each of the above eligibility statements.
Contestant Agreements
Participation expectations
Returning main-title winner agreement
Date photograph sent

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Final acknowledgment - agreement
Contestant full legal name (printed)

First NameMiddle NameLast Name
Contestant signature
Contestant signature date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Event Staff Review
Event staff initials
Registration received date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Registration received by

First NameMiddle NameLast Name
Photo received
ID verified at check-in
Fees confirmed
Notes
Should be Empty:

2026 Red White Blue Pinup Pageant Registration Form

Contestant Information

Emergency Contact

Military Service Information

Registration and Package Payment

Eligibility Initials

Contestant Agreements

Event Staff Review