Electronic Entry Form
Canton, Ohio
Saturday, March 31, 2012
Canton Woman's Club
Registration: 11:00-12:00
Information for EMCEE
Contestant’s Name

Date of Birth MM/DD/YY:

Age, Ht. and  Wt.

Color Hair & Eye Color

Favorite Activity

Favorite Color

Two Words that best describe me are __________ and ____________

Sponsor _____________________________________
Sponsor is the one who pays the entry fee.  Sponsors may be parents, family, businesses or friends.  
Sponsors will be announced while contestant is on stage.

Email Address
(Please include email address to receive confirmation and pageant updates)

Are you an inaugural member (Check box, if you participated in our first pageant Dec. 2, 2006)

Gender
Girl

Birth -23 months

2 year -3 year

4 year - 6 year

7 year- 9 year

10 years  - 12 years

Boy (divisions will be determined based on entries)

Age (as of March 31,2012)


(Please Mark All Categories  You are Entering)
You only need to pay your $50 deposit in advance not the entire fee. We simply need to order enough gifts.
Inaugural Members receive optional talent event. Your balance will reflect a credit but you must pre-
registration for talent if you are entering.  If you register for a category now and choose not to participate
later,  you can simply eliminate the category during registration. Thanks!



“The Royal Package” (Includes Beauty, + Five side awards… sweetest smile; prettiest eyes,
prettiest hair, best dressed; best personality)  $100

"High Point Package" (Includes Beauty + Five side awards, sweetest smile; prettiest eyes,
prettiest hair, best dressed; best personality+Spring Wear+ One Photo Event) $135


Optional Events **

$20 Spring Wear  (included in Hi Point)

($20) Second Outfit of Choice  (You may bring your own music for this outfit)

($15) Talent (
Sing, Dance, Read a Poem, Acting) You must let us know if you need anything special for talent

($15)  Photogenic Head Shot (Extra Photos, $5 each, can enter extras day of
pageant)                                    

($15) Composite/Collage (may include 2-7 photos suggestion)  

($10) Overall Photogenic/Composite

($10 ) Overall Best Personality   

($10) Overall  Best Spring Wear/Outfit of Choice     

($10) Overall Spring King/Queen (Pulled after Hi-Point)



                                                                               

(FREE) Easter Bonnet Contest
Total  
 (Register & Pay Deposit by  March 25th and overalls for free!

-$50 Deposit: Due No Later than ( March 25th )    Early Deposit Date (March 11th )
Qualifying Discounts: Sibling, Inaugural category, drawing, royal dollars_______
Please register by March 11th if using discounts.   Balance Due______________

Parents Name

Street Address

City & State

Zip

(   ) Phone Number

Parent’s Signature  (please type name)
I acknowledge and completely agree that My Royal Crown Pageants
directors, staff or the Facility where the pageant is being held is in no way
responsible for any accidents or injury that may occur before, during or
after the pageant. All photos and videos taken may be used for the
promotion of this pageant system.
How did you find out about My Royal Crown?
Pageant Board

News Paper/Magazine

Flyer/Poster

Direct Email

I was referred by
Once you register, we are
counting on your participation
so if your plans should
change after you register
PLEASE offer us the courtesy of
an advance cancellation.
If you register and fail to show or
cancel, any  future registrations
may be declined.Thanks
*Register & Pay Deposit by March 11th
& receive overalls for free ($30 Value)!


* Sibling Discount: First Child full price second 1/2 off total fees
*Discounts can not be combined but you may use the highest
discount value.

*Cash Award to High Point Winner
REGISTRATION DEADLINE: March 25th
Click here to view/print all pageant information