Registration for 2023-2024

Pretty Girl's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Pretty Girl's Phone Number

(###)

###

####

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone Number *

(###)

###

####

Preferred Method of Contact *

Select how you would like to receive regular updates and notification

Text

Email

Additional Emergency Contact Name

First Name

Last Name

Additional Emergency Contact Number

(###)

###

####

Mailing Address *

In the COUNTRY slot please put your COUNTY

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent Participation *

Select as many areas that you would like to help in during this new year.

Providing Snacks

Being a Presenter

Gala Planning Team

Fundraising Team

Chaperone / Volunteer

Board Member

Do we have your permission to post any videos or photographs of her on our social media accounts and website? *

Yes

No