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
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Lake Village Chamber of Commerce
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