Scholarship Pageant Scholarship Pageant Miss PVF Entry Form (Ages 13+) ∎ After submitting the form, you will need to click on the pay registration fee button on the following page Age Division Contestant's age on 8-12-23 Jr. Miss (13 – 16 years) Miss (17 – 22 years) Ms./Mrs. (23 & up) Name * First Name Last Name Birthdate * MM DD YYYY Age * (as of 8-12-2023) Address Address 1 Address 2 City State/Province Zip/Postal Code Country Parent / Guardian Name First Name Last Name Phone * (###) ### #### Email * School / Grade / Place of Employment * Why I want to be Fair Queen * Personal Interests / Hobbies * Future Ambitions * Sponsor (optional) Digital Consent * Participant further agrees to abide by all rules and regulations as set forth by the Page Valley Fair Association; failure to do so will result in disqualification. I also agree that my image and/or name may be used for future Page Valley Fair and/or pageant events. If the participant is under 18 years of age, parent or guardian must sign. My signature below acknowledges that I have read the rules and regulations and agree to adhere to them. By checking this box, I have read and agree with the above statement Participant or Parent / Guardian Name * Qualifies as official signature Thank you!
