Miss Rock Star Registration
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Email *
Contestant's Name
Age as of August 29, 2021
Parent's Name
Phone Number
Address
Email Address
Hobbies
Favorite Song
If I was a Rock Star for a day, I would:
I understand that no refunds will be issued, unless the pageant is cancelled. I understand that bullying in any capacity by the contestant or her entourage will not be tolerated and they will be required to leave immediately. I understand that photographs taken will be used for advertising purposes. Parent signature required, please type name as understanding. *
A copy of your responses will be emailed to the address you provided.
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