RUP Monthly Mini Pageant Registration Form
Complete this form to register for our next monthly mini pageant.
Name
First Name
Last Name
How old are you or add your date of birth
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Which Monthly Mini Pageant are you interested in competing in?
Please Select
March
April
May
June
July
August
September
October
November
Are you interested in registering for multiple monthly mini pageants to increase your chances of winning? (you get a discount if you register for more than one)
Yes
No
What is your favorite color?
What is your favorite social media platform?
What charity or community service do you represent or is near and dear to your heart?
Do you have any emotional, mental, spiritual, or physical issues you need to work on? (Do you think you need to work on your self-esteem or confidence level?)
Yes
No
Maybe (I would like to discuss this further)
Why do you want to win this month's mini pageant?
Submit
Submit one headshot image of you (casual make-up if you are a female)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload one full body shot image of you (modest attire only)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Registration Fee Payment
prev
next
( X )
USD
Registration Fee $50
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Should be Empty:
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