ACHF Pageant Contestant Application

America's Clogging Hall of Fame Pageant
Contestant Application
Contestants Full Name:
Age:
Birthdate:

MonthDayYear
Date
Gender
Please choose the title entry the contestant is seeking:
Please note:

Contestant wishing to compete for one of the overall titles - Junior Miss/Mister, Contemporary Miss, Traditional Miss, or Miss/Mister - MUST compete in all 3 clogging solo categories.

Contestants only wishing to seek an age division title are only required to compete ONE solo category. However, all contestants are welcome to compete as many solos as they wish. All categories are included in your registration fee. You must make final selections on this form.
Please select ALL clogging categories the contestant will be competing in:
Current Clogging Team(s) Affiliation:
Clogging Director(s)/Teacher(s):
Parent/Guardian Name(s):
School:
Grade Level (major if applicable):
Occupation (if applicable):
How long has the contestant been clogging?
Please list hobbies and extracurricular activities.

Please provide any additional information about the contestant to help us better serve them during this weekend-long pageant experience. (food allergies, medical conditions, etc.)
We need the following contact information for each contestant. This is how our committee will communicate with you leading up to the pageant. If the contestant is under the age of 18, please provide contact information for the parent/guardian. Contestants ages 18+ may provide their own contact information.
Guardian/Contestant Contact:
Cell Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Additional Contact Information:
Should be Empty:

America's Clogging Hall of Fame Pageant