2022 Little Mister & Miss Juneteenth Pageant Entry Form
Scruggs Student Center - Lincoln University Campus
Thursday June 16, 2022 @ 7:00 p.m.
 
Contestant Name*
Age*
Address*
City*
State
Zip code
Country
Sex Male    Female   
Date of Birth*
  Parent/Guardian Information
Mother/Guardian Name*
Address*
Home Phone
Cell Phone
Email*
Father/Guardian Name*
Address*
Home Phone
Cell Phone
Email*
To be signed by parent/guardian of Contestant
I agree to that all information provided above is accurate. Any misrepresentation of the truth will cause immediate disqualifications for the competition. Contestant must execute all consents and/or waivers of liability presented as conditions prior to pageant. Parent/Guardian gives permission to the Juneteenth Heritage Festival Committee to use contestant’s photo and/or likeness for promotional purposes. Juneteenth-Jefferson City, Inc. is held harmless and assumes no liability for injury incurred by contestant or any program attendee. Contestants must be accompanied by a parent/guardian at all times. Mail completed application by June 10, 2022 to: Juneteenth-Jefferson City, Little Mr. and Miss Juneteenth Pageant, P.O. Box 1241, Jefferson City, MO 65102-1241.
Parent/Guardian Signature*
Date
 

Qualifications and Criteria

  • By June 10, 2022 Contestant must be:
    • Category #1: 4, 5 or 6 years of age; or
    • Category #2: 7, 8, or 9 years of age.
  • Contestant must currently live in the Jefferson City or surrounding area
  • Contestants are encouraged to wear African Attire
  • Contestant must execute all consents and/or waivers of liability presented as conditions prior to pageant.
  • Parent/Guardian gives permission to use contestant’s photo and/or likeness for promotional purposes.
  • Contestants must attend the pageant rehearsal on at  Scruggs Student Center on the campus of Lincoln University.
  • Contestants will be judged based on: 1) Appearance ; 2) Presentation; 3) Attire; and 4) Interview
  • All participants will attend the Juneteenth Heritage Festival on June 18,  2022, during which prizes shall be awarded.
  • Top three in each category will receive recognition during Juneteenth Heritage Festival on June 18, 2022.
  • Entry Deadline:Wednesday, June 10, 2022
  • Please submit online or mail completed paper Entry Form to the following address by June 10, 2022

    Juneteenth Jefferson City
    Little Mister and Miss Juneteenth Pageant 2022
    P.O. Box 1241
    Jefferson City, MO 65102–1241
    Contact:  (573) 694.3399
    Email: juneteenthjc@aol.com
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