Lords and Ladies Pageant Registration | Miracle League of El Paso

"*" indicates required fields

NAME*

AGE*

SCHOOL

INTERESTS

WILL YOU PARTICIPATE IN TALENT PORTION OF EVENT?

Yes

WILL YOU BE PARTICIPATING IN THE COSTUME CONTEST?

Yes

If you answered Yes, what type of talent?

PARENT'S NAME*

CONTACT NUMBER

WORK NUMBER

HOME ADDRESS*

Street Address City State ZIP Code

RULES AND REGULATIONS

As a contestant, I agree to participate and adhere to all rules and regulations governing the pageant/contest and agree and grant permission without limitation to the use of my photos, images, and or video to promote the event in any present or future TV, internet, newspaper, magazine, business card, and any other form of publicity and or publications.

As a contestant, I agree to attend all events and rehearsals of the pageant and be on time. I must provide a contact number, email address or other form of communication so that I am aware of all event dates and times.

I agree to sell a minimum of ten event admission tickets priced at $10 each.

I fully release and waive all claims of the Miracle League of El Paso, {SCHOOL:8} Independent School District and any of the authorized staff or volunteers as well as their designated representatives and sponsors from any Liability resulting from any accident or incident during the pageant or any event leading up to the pageant.

Contestant Signature

Parent or Guardian Signature

Phone

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