Lad n' Lassie Entry Form

ALL ENTRIES MUST BE PAID IN FULL AT THE TIME OF SUBMISSION OR YOUR CHILD WILL NOT BE ENTERED INTO THE 2023 LAD n' LASSIE PAGEANT

Date

March 19, 2023

Time

1:00 pm

Shamrock ISD Auditorium

100 S Illinois St, Shamrock, TX 79079

At any point DO NOT hit refresh. If you hit refresh, you may be double charged. If you are double charged, you will be responsible for the fees.
*Note: Only Pre-teen Division will compete in Casual Wear, as well as Formal Wear.

All other age groups will be Sunday Best/Formal Wear
Contestant's Name*

First NameLast Name
E-mail*
example@example.com
Mobile Number (updates may be sent via text)*

Area CodePhone Number
Contestant's Birthdate*

MonthDayYear
Date
Contestant's Age as of March 20, 2022*
Contestant's Gender*

The below information will be included in the contestant's write-up and will be read while the child is on stage. Please include all necessary information.
Mother's Full Name

First NameLast Name
Mother's City & State

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Full Name

First NameLast Name
Father's City & State

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do parents reside together?*
Maternal Grandparents' Names (1)

First NamesLast Name
Maternal Grandparents' Names (1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Maternal Grandparents' Names (2)

First NamesLast Name
Maternal Grandparents' Names (2)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Paternal Grandparents' Names (1)

First NamesLast Name
Paternal Grandparents' Names (1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Paternal Grandparents' Names (2)

First NamesLast Name
Sponsor's (business) Name
Contestant does not have to obtain a sponsor. All sponsors will be mentioned during the contestant's on-stage introduction and usually is responsible for reimbursing you for the entry fee.
Brief desciption of facts of interest (hobbies, sports, activities, etc.)*
Please enter this write-up as if it was being read by the emcee on stage.