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Event Signup: Pageant with a Purpose  (August 27, 2016) Event Signup: Pageant with a Purpose (August 27, 2016)

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Sign up for the Pageant with a Purpose - August 27, 2016
Gender:
Boy:
Girl:
Participant Name:*
Age:
Age Division:
Toddlers (Ages 2- 3)
Preschool (Ages 4 -5)
Grade School (Ages 6-10)

Date of Birth:
Hobbies and Interests:
Parent's/Guardian's Name:
Phone Number:
Cell Number:
Email Address
Address:
City/State:
Zip Code:

ENTRY FEE: Participants obtain sponsors to donate to St. Jude’s Hospital on their behalf. Minimum is $30. A prize will be awarded to the participant raising the largest amount! Contact Stacie Ware at 918-269-3278 for information on how to submit your entry fee.

By submitting the application, Contest Parties agree to abide by all rules and not to hold St. Jude's, St. Ann's, Vision 21, or it's employees responsible for any accidents or liabilities during the pageant. All Statements are true. The entry fee is non-refundable. More information can be obtained by contacting Stacie Ware at 918-269-3278.