Ultimate Junior Miss
Ambassador Application
Email
example@example.com
Phone Number
Please enter a valid phone number.
Parent's Name
First Name
Last Name
Child's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age Divisions
Please Select
Baby (2-4)
Tiny (5-7)
Pre-Teen (8-10)
Jr. Teen (10-12)
Teen (13-17)
Miss (18-24)
What is your child's social cause?
Why would you like to represent as an Ambassador with UJM?
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UJM Ambassador Application Fee
$
20.00
Quantity
1
2
3
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5
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9
10
I, undersigned, agree with the following terms & conditions:
Eligibility: Participants must meet the age and gender requirements for their respective divisions.
Registration: All contestants must complete registration and pay the required entry fee and deposit by the deadline..
Entry Fee: Contestants are responsible for the entry fee as specified in the pageant details.
Conduct: Unsportsmanlike behavior will not be tolerated and may result in disqualification.
Crown Awards: All winners will receive a crown, and princesses will receive a tiara.
Door Fees: Attendees are required to pay a $5 door fee per person, with children under 5 admitted free.
Winners will have additional opportunities throughout the year as Miss Georgia Pride royalty.
Date
-
Month
-
Day
Year
Date
Signature
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Submit
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