LITTLE MISS BUCKEYE - State - Registration & Payment

PARENT OR GUARDIAN INFORMATION
The person completing this form will be the primary contact

Thank you for your interest in having your daughter participate in our Miss Ohio Little Miss Buckeye Youth Mentoring Program! This program is designed for girls, ages 5 to 12, who are looking to improve upon skills that promote self-confidence, poise and learn about community service.

We know she will have a fun and exciting time during Miss Ohio Week with our Miss and Teen Candidates.

Participate in the Miss Ohio Parade on Sunday, June 9, 2024 (must provide your own convertible or share with another Little Miss Buckeye)
Participate in a variety of fun activities (to be determined) with the Teen contestants throughout Miss Ohio week.
Be introduced on stage during the Miss Ohio's Teen Show on Wednesday, June 12, 2024.
Perform a choreographed dance routine onstage during the Miss Ohio's Teen Show, Wednesday, June 12th, and Miss Ohio Preliminaries, Thursday to Saturday, June 13-14, 2024.
Participate in the Miss Ohio Evening Wear production number during Miss Ohio Preliminaries and Finals, June 13-15, 2024.
Have photo opportunities with our Miss Ohio's Teen 2024 and Miss Ohio 2024.
Of course, Little Miss Buckeyes will receive the official Crown and Sash!

There will be rehearsals at various times between Sunday, June 9th and Saturday, June 15th. Little Miss Buckeyes are not required to stay in Mansfield during the week but are encouraged to do so!

Many businesses may be willing to sponsor your Buckeye. If a business does sponsor (cover the cost of registration), they will be listed in the program book under her photo and will be mentioned on stage during her introduction at the Teen Program.

To register, a parent or guardian will be required to submit the necessary information. Once we receive this registration form, we will send you a link to complete the required paperwork.

DEADLINE: We must receive the registration form, payment and all required information by May 1, 2024 to be included in the Miss Ohio Program Book.

If you have any questions, please contact Gianna Gallo at LittleMissBuckeye@MissOhio.org or by phone at 567-241-2372.

Little Miss Buckeye's Full Legal Name*

First NameMiddle NameLast Name

Name to be used*

Please do not include middle names or initials

Birth Date*

Date

Age*

Age as of June 9, 2024 - Must be between 5-12 years of age

Height*

For proper selection of Sash length

Parent or Guardian*

Name*

First NameLast Name

Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email Address*

Mobile Phone*

Home Phone

Referred by

Name of person that referred you to our Little Miss Buckeye Program

Additional Info or Comments

You are welcome to submit any additional information or comments.

PARTICIPATION FEE

The participation fee for the Little Miss Buckeye Program is $300.

We offer a $30 discount for each additional biological sister who wants to participate in the program. Please contact Gianna Gallo at littlemissbuckeye@missohio.org for a discount code.

If you refer a new Little Miss Buckeye to participate, you will receive a $30 refund for each participant. New participants must include your name or your daughter's name when registering.

Since we are providing New Sashes and Crowns, we cannot offer a discount for returning participants this year.

Participation Fee

Little Miss Buckeye Fee$300

Includes Crown, Sash, 2024 Year Pin,

Enter coupon

Upon clicking the SUBMIT button below, you will be directed to PayPal to complete your payment using your credit card. You don't need a PayPal account to pay by credit card. We must receive full payment when registering for our program.

If you do not complete the PayPal payment process, the registration will be canceled.

For those wishing to pay by check or have a sponsor paying by check, the check should be made out to MOSP and mailed to...

Miss Ohio, PO Box 360245, Strongsville, OH 44136.

Once we receive the check, we will refund the charge to the credit card.

Once we receive your payment confirmation, we will forward you a link to submit additional required information.

Thank you!

Gianna Gallo
Little Miss Buckeye Program

Submitted By Name*

Submitted By Email*

A copy of this form will be emailed to this E-mail Address

Check Received Info

MAILING CHECK Participation Fee Selection

First Time Princess - Receives a Princess Sash & Crown- $325Returning Princess - Use existing Sash & Crown - $275