Contestant Information

Contestant # Age Division:

Name:

Address:

City:State: Zip:

Phone: E-Mail: DOB*

Age: Hair: Eyes:

Hobbies:

Favorite Person:

Favorite Place to go:

Parents Name:

*There is a 30-day grace period.

I will not hold neither Deborah Jenkins or Sheraton Safari Resort or anyone associated with the pageant responsible for loss, theft, or accident, before, during, or after the pageant.  I also grant Southern Angels the right to use photographs, videos and or my child’s name in any promotional effort made on behalf of Southern Angels.  All decisions by Judges are final.

Signature of Parent or Guardian:

Referred By:

Registration Information

Registration Fee, Beauty, Casual and Swimwear.$155.00