2019 Little Mister & Miss Pageant Entry Form
Scruggs Student Center - Lincoln University Campus
Friday June 14, 2019  @ 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, 2019 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 14, 2019 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 13, 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 15,  2019, during which prizes shall be awarded.
  • Top three in each category will receive recognition during Juneteenth Heritage Festival on June 15, 2019.
  • Entry Deadline: Monday June 10, 2019
  • Please submit online or mail completed paper Entry Form to the following address by Monday June 10, 2019

    Juneteenth Jefferson City
    Little Mister and Miss Juneteenth Pageant 2019
    P.O. Box 1241
    Jefferson City, MO 65102–1241
    Contact:  (573) 821-5759
    Email: juneteenthjc@aol.com
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