Prospective Participant/Contestant Information Form

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Prospective Participant/Contestant Information Form

⁷The Juneteenth Family Enrichment Program & Pageant begins in January 2024. Feel free to complete this form, if you are interested in becoming a participant/contestant and receiving more information. Thank you!

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DEJA

Prospective Participant/Contestant's Name *

Your answer

Age *

Your answer

Mailing Address *

Your answer

School *

Your answer

Phone number *

Your answer

Email *

Your answer

Parent or Guardian 1's Name *

Your answer

Mailing Address *

Your answer

Phone number *

Your answer

Email *

Your answer

Parent or Guardian 2's Name

Your answer

Mailing Address

Your answer

Phone number

Your answer

Email

Your answer

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