EmailMeForm
America's Regal Gems and USA's Most Beautiful
Carnival Mini National Double Header
June 23 - 25, 2017
Sheraton Bradley CT
This form registers you for both systems.
Please remember your $150 deposit holds your spot for both pageants and is non refundable. Please send paypaled amount to RegalGemsPageant@aol.com
Questions email Cheryl at RegalGemsPageant@aol.com
or Jen at liljeniPT@gmail.com
Contestant Name
First
Last
Parent/Guardian
First
Last
Email
Phone
###
-
###
-
####
Date of Birth
Age Division - 30 day fall back
*
Please select
0 23
2 yr
3 - 4
5 - 6
7 - 8
9 - 10
11 - 12
13 - 15
16 & up
Please select Glitz or Natural Beauty
Please select
Natural
Glitz
Supreme fee $400 includes Beauty, ThemeWear, Outfit of Choice 1 and (1)Photo for both systems
$
Dollars
.
Cents
You may enter second Beauty event for $60
$
Dollars
.
Cents
Please select photo event
Please select
Natural
Glitz
Enter additional photo event $20 FREE if entering by May 15, 2017
Please select
Natural
Glitz
Enter additional photos for $20 each or up to 10 for $50. You may mix natural and glitz if you have entered both events.
Check if entering
Select number of additional photos entering
Please select
1
2
3
4
5
6
7
8
9
10
Optional OOC 2 $20 FREE if entering by May 15, 2017
Check if entering
Door Optional Combined Ultimate Supreme
Entry Fee $50
Check if entering
Total
Deposit - $150 minimum deposit required
Paypal - RegalGemsPageant@aol.com
Remember to include 4% paypal fee
$
Dollars
.
Cents
PARTICIPATION GIFT CHOICE FROM LIST
REFERRED BY
Powered by
EMF
Free Form Builder
Report Abuse
