REGISTRATION FORM

Name of Applicant: _____________________________________________________________________

Division: _______________________________________ Age________________ DOB_______________

Parents/Guardians: _____________________________________________________________________

Address: _____________________________________________________________________________

City, State, ZIP: ________________________________________________________________________

Phone #:______________________________Secondary Phone #_______________________________

Email: _____________________________________________________

School Name: ________________________________________________________Grade: ___________

Favorite food: ___________________ Favorite music: ________________________________________

Favorite movie/TV Show: ________________________________________________________________

Activities/Hobbies:______________________________________________________________________

_____________________________________________________________________________________

Ambition in life is: _______________________________________________________________

Sponsor: _____________________________________________________________________________

The pageant system, pageant facilities, organizers, volunteers and staff are in no way liable for accidents, property damage, or any other accidents that may occur.

Signature of applicant: (parent or guardian if applicant under 18)

X______________________________________________________________________

Please mail your completed registration and entry fee to:

Lake Village Chamber of Commerce

Attn: Chelsey Weatherford P O Box 752 Lake Village, AR 71653

(Or you can drop off at LV Chamber Office)

Divisions

Mini Baby Miss 0-11 Months Sunday Dress

Baby Miss 12-23 Months Sunday Dress

Toddler Miss 2-3 Years Sunday Dress

Mini Miss 4-6 Years Sunday Dress

Tiny Miss 7-9 Years Sunday Dress

Little Miss 10-12 Years Pageant Dress

Junior Miss 13-15 Years Pageant Dress

Teen Miss 16-18 Years Pageant Dress

Miss 19-21 Years Pageant Dress
 

Mister

Baby Mister 0-23 Months Sunday Suit

Tiny Mister 2-3 Years Sunday Suit

Rules for Miss and Mister Lake Chicot Beauty Pageant

Ages 0-9 Years are permitted and encouraged to wear their Sunday dresses and suits.

Ages 10-21 are permitted to wear pageant dresses.

Winners should be advised that they may be asked to take part in other Lake Village activities such as parades or Fall Fest events to show off their crown.

Scores are final and will not be released for any reason. Mister and Miss Lake Chicot Beauty
pageant is a fundraiser for our local community, and has a main focus of all participants and attendees to have a fun time.

All participants must fill out registration forms in full with registration fee to be counted as a participant.

Registration

Registration for Participants: Each pageant entry is $35 before October 21st. On the day of pageant, price will increase to $40 to participate in pageant.

Admission: Admission is $5 upon entrance to the pageant. Admission is Free for children 3 and under. Each contestant will have 1 FREE admission to the pageant for a parent or a back stage person.

Photogenic Pictures: Each participant that would like to participate in the Photogenic division must be present by 1:15PM on October 21st in order to be judged before pageant begins at 2PM.

2023 Miss & Mister Lake Chicot Pageant

Our Lady of the Lake Parish Hall

1PM (Registration) Pageant begins at 2PM-4PM

Saturday, October 21, 2023- Lake Village, AR

Chamber Logo copy

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Lake Village Chamber of Commerce
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