Little Mr. and Miss Sylacauga

Saturday, September 18, 2021 at 3:00 PM
J. Craig Smith Community Center
Ages 3 - 12

To register, complete the following form and application fee(s).
For geographic eligibility parameters, click here to see the eligibility page on this website.
For questions, contact Miss.Sylacauga.Info@gmail.com or text 256.288.6577

* Indicates required field

Contestant Name *

First

Last

Contestant age (as of the date of the pageant) *

Date of Birth (as of date of pageant date) *

School/Daycare Contestant Attends (if applicable) *

Level Competing *

Tiny - Ages 3-5 Young - Ages 6-8 Little - Ages 9-12

Gender *

Male Female

Excerpts from the following questionnaire will be read onstage during competition and used for on-stage and/or private interview. For 0-4 year olds, feel free to put not applicable (n/a) for those fields that do not apply to your contestant.

Write a brief statement about child - personality, hobbies, interests: *

Church/Civic Involvement *

Extracurricular Activities *

Scholastic Honors *

Favorite Subject in School *

Favorite TV Show *

Pets (list type and name) *

What do you want to be when you grow up? *

Besides your mom/dad, who is your role model? *

Parent/Legal Guardian Name 1 *

First

Last

Parent/Legal Guardian1 Email *

Parent/Legal Guardian 1 Phone # *

Parent/Legal Guardian Name 2 *

First

Last

Parent/Legal Guardian 2 Parent Email *

Parent/Legal Guardian 2 Phone # *

Parent's names as they should be announced from stage. Example: John and Jane Doe OR John Doe and Jane Doe) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Your contestant is competing in the following (check all that apply) *

Poise and Beauty Walk $50 Miss Photogenic $10 per photo Talent $10 (talent can be no longer than 90 seconds) Interview $10 (Little contestants only)

If competing in Photogenic, how many photos are you submitting? *

As parent/legal guardian of this contestant, I hereby certify that all the above statements are accurate and this contestant meets all of the eligibility requirements to compete in this pageant.

Electronic Signature of Parent/Guardian (your typed name in this field represents your consent/signature) *

Date *

Submit

Email photogenic photos and a copy of the contestant's birth certificate to
Miss.Sylacauga.Info@gmail.com.

Registration is not considered complete until registration fees are submitted as noted below. Thank you!

Registration Payment Options

Registration (Poise & Beauty Walk) - Little Mr and Miss

$50.00

Purchase

Photogenic - Little Mr and Miss

$10.00

$10 per photo being entered

Purchase

Talent - Little Mr and Miss

$10.00

Purchase

Interview (Little division only) - Little Mr and Miss

$10.00

Purchase

Additional Payment Methods
Please include in notes that your payment is for Little Mr. & Miss Sylacauga and the name of the Contestant

Miss Sylacauga Organization
2 West 8th Street, Sylacauga, Alabama 35150
www.MissSylacauga.com | MissSylacauga@gmail.com
Phone | 216.702.0093 or 256.288.6577

This website is maintained by Miss Sylacauga Organization Executive Committee. All pictures that appear herein are the exclusive property of the Miss Sylacauga Organization Executive Committee (unless otherwise noted) and may not be used without the express written consent of the Miss Sylacauga Organization. All rights reserved.

YOUR CART

Saturday, September 18, 2021 at 3:00 PMJ. Craig Smith Community Center​Ages 3 - 12

To register, complete the following form and application fee(s).For geographic eligibility parameters, click here to see the eligibility page on this website.For questions, contact Miss.Sylacauga.Info@gmail.com or text 256.288.6577

Email photogenic photos and a copy of the contestant's birth certificate toMiss.Sylacauga.Info@gmail.com.​Registration is not considered complete until registration fees are submitted as noted below. Thank you!

Registration Payment Options

Registration (Poise & Beauty Walk) - Little Mr and Miss

Photogenic - Little Mr and Miss

Talent - Little Mr and Miss

Interview (Little division only) - Little Mr and Miss

Additional Payment MethodsPlease include in notes that your payment is for Little Mr. & Miss Sylacauga and the name of the Contestant

Saturday, September 18, 2021 at 3:00 PM
J. Craig Smith Community Center
Ages 3 - 12

To register, complete the following form and application fee(s).
For geographic eligibility parameters, click here to see the eligibility page on this website.
For questions, contact Miss.Sylacauga.Info@gmail.com or text 256.288.6577

Email photogenic photos and a copy of the contestant's birth certificate to
Miss.Sylacauga.Info@gmail.com.

Registration is not considered complete until registration fees are submitted as noted below. Thank you!

Additional Payment Methods
Please include in notes that your payment is for Little Mr. & Miss Sylacauga and the name of the Contestant