Pageant Application

Application

* Indicates required field

Legal Name *

First

Last

Stage Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Are you 21 years of age or older? *

Yes No

Have you read the Rules and Guidelines and understand the terms? *

Yes No

If you win, are you able to fulfill the commitments outlined in the Rules and Guidelines? *

Yes No

Have you participated in any pageant in the past year? If so, please list them. *

Do you currently belong to any other Mardi Gras krewe? If so, please list them? *

By entering your name below, you affirm that you have read and understood the Rules & Guidelines presented on the preceding page. You further agree to uphold these standards in full. Any misrepresentation or failure to comply may result in disqualification or removal from participation.

Electronic Signature - Please type legal name. *

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