Contestant Name *
Age *
Birthdate * (MM-DD-YYYY)
Parent Name *
Email Address *
PayPal Email (Type again if same) *
Home Address *
City *
State *
Zip *
Phone (optional)
Payment * PayPal Money Order
Select Fees *
Message *
Total # of photos *
Photo 1 *
Photo 2 (optional)
Photo 3 (optional)
Photo 4 (optional)
Photo 5 (optional)
Photo 6 (optional)
What do you prefer ? *   More Awards/Less Cash Lower Entry Fee/Less Cash
Would you like to recieve contest updates ? * Yes No

 By signing this entry form, I understand that the Judges will remain anonymous and all decisions are final.
PageantHub.com is not liable for misdirected mail, postage due, or damaged photos. I understand that by
entering this contest I am giving permission for my child's winning photo to be used for promotional
advertising related to this contest only, on or off the Internet.
Signature * Date *  (MM-DD-YYYY)

Completing the entry form, will direct you to the payment process.