Pageant and Talent Registration Form

Pageant and Talent Registration Form

Please make sure to fill in the required fields and submit this form with payment to complete your order. The pageant will be held Friday evening, October 9, at Mississippi Coliseum. Check-in time will begin at 4:30pm and the pageant will begin at 6pm. The talent competition is Saturday, October 10, at Mississippi Coliseum. Check-in time will begin at 8:30am and the talent portion will begin at 10am. More details to follow after you register.
Participant's Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Pageant Category (Ages 0-19)
Talent Category (Ages 5 and up)
Upload Photogenic Entry Here (optional)

Cancelof

Pageant Entry Fee

Entry fee for pageant registration

$50.00

Most Photogenic Entry

$10.00 Quantity

Prettiest Dress Contest

$10.00

Talent Entry Fee

$50.00

Total