ONLINE PAGEANT ENTRY FORM 
Child's Name: 
Age: 
Date of Birth:
M/F: 
Address:
Zip Code: 
Phone #: 
Parents Names:
Hair Color:
Email: 
Eye Color: 
Person Most Admired:
Hobbies: 
Ambition: 
How Did You Hear About Us: 
I hereby certify that Crowntown, staff, and facility where pageant or event is being held, or anyone associated with this pageant are not responsible for accidents, injury, or theft incurred before, during, or after the pageant and therefore release any liability to said parties. Judges decisions are final. Poor sportsmanship will result in disqualification of contestant and prizes (this includes contestant and family members). The director reserves the right to cancel pageant due to lack of participation with full refund. I understand no refund will be given if contestant fails to show or is disqualified because of misconduct by contestant or family member. All deposits are non-refundable.
Scholarship Queens will receive their scholarship/or cash award at the end of their reign, all Scholarship Queens must attend a minimum of 4 qualified appearances during their reigning year to receive their scholarship or cash award. If appearances are not met all monatary awards are forfeited. If pageant is awarding a scholarship, we must have five or more contestants to award scholarship.











Comments:
Name: 
Date: 
Entry Fees 
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Method of Payment:
Pay through Paypal with major credit card
Are you selling Sponsor Tickets? 
City: 
Have you or are you selling enough to qualify for Benefit Queen?
Must total a min. of $300.00 to qualify 

ST: 
Three words that describe me: 
Your Paypal address: 
Only if paying via Paypal
If a Friend, please tell us who so we can thank them: 
Sponsored By:
Crowntown
PO Box 742
Sunnyside, GA 30284
Crowntown pageant line
770-229-2249

Favorite TV show or Movie: 
Click on Ticket above to Print 
Raffle Tickets
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Deposit will be applied to total fees, balance due the day of pageant.
Please put name of child and age in comment section of PayPal
Once you click submit you should be redirected to this page to use 
Paypal at top of page to make deposit or pay in full.
Sponsors will be read on stage 
By checking this box you certify that you are 18 years old or above and hereby agree to the above statement
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