2018 Little Mister & Miss Pageant Entry Form
Scruggs Student Center - Lincoln University Campus
Friday June 15, 2018  @ 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 11, 2018 to: Juneteenth-Jefferson City, Little Mr. and Miss Juneteenth Pageant 2015, P.O. Box 1241, Jefferson City, MO 65102-1241.
Parent/Guardian Signature*
Date
 

Qualifications and Criteria

  • By June 15, 2018 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 Thursday June 14, 2018 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 16,  2018, during which prizes shall be awarded.
  • Top three in each category will receive recognition during Juneteenth Heritage Festival on June 16, 2018.
  • Entry Deadline: Monday June 11, 2018
  • Please submit online or mail completed paper Entry Form to the following address by Monday June 12, 2018:

    Juneteenth Jefferson City
    Little Mister and Miss Juneteenth Pageant 2018
    P.O. Box 1241
    Jefferson City, MO 65102–1241
    Fax: (573) 893-5562
    Email: juneteenthjc@aol.com