EmailMe Form - AGJ Nationals 2019

Contestant's Name *

First Last

Age Group *

Parent's Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Email *

Supreme Fee- Includes Beauty + (1) photo optional of your choice, Cruise Wear- theme wear, Side award, Freebie party + (1) admission parent pass for weekend. 395.00

$ Dollars . Cents

Mandatory Registration fee- includes team color T-shirt ,welcome packet and more, party tickets and more. $40

$ Dollars . Cents

Optional Events- not required to enter, but provided for more fun and more chances at titles and prizes.

Please list how many ad pages you sold for 2015

ADMISSION PASSES (1 comes as part of contestant's registration fee)

$20 ADULT (ages 13+)

$ 10 Child Pass (ages 0-12 yrs)

TOTAL

Discount won (taken off Regular Package price of $395 only.

DEPOSIT- required and non refundable or transferrable.
Full deposit in is the only confirmation of registration. Deposit is SUBTRACTED from your total. Balance can be paid at the door on registration day. Includes 4% paypal fee

$ Dollars . Cents

Balance due after deposit or earlybird

$ Dollars . Cents

Team Color

Blue

Red

Surprise me