South East Missouri Registration

South East Missouri Angel Pageant

DIRECTOR: Chaundra Mason
PHONE: 573-264-2117 or 573-979-2877
EMAIL: semissouriangelspageant@yahoo.com

DATE: Saturday, April 27, 2013

TIME: 2:00 p.m.

LOCATION: Scott City High School
3000 Main Street
Scott City, MO 63780

Parent or Guardian Information

* Indicates required field

Parent or Guardian Name *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Angel Information

Name of Angel *

First

Last

Angel's Special Need *

Daughter or Son of: *

Age on day of pageant *

Name of School or Employer *

Favorite Color *

Favorite TV Show *

Hobbies *

Tell us something unique about your Angel *

If he/she could be crowned with any title, what would that title be (ex: Duke of Dancing, Sweetest Smile, Fairy Princess, Best Hugger in the World.) Be creative. What would best describe your contestant?

Title *

Angel's Shirt Size *

Number of Guests Attending *

Does the Angel Use A Wheelchar *

Participation Agreement *

By submitting this application, I understand that Pageant staff, volunteers, and/or venue location cannot be held liable for damages, theft or injury to individuals or their belongings before, during, or after event.

Submit