Starkydz Showcase - Pageant Registration

Starkydz "Glow Your Own Way"

November 6, 2021 - Kingman High School, Kingman AZ

Please complete the following registration form & emcee sheet. You may then click to submit payment for this event.

Contestant's Name

First Name Last Name

Contestant's Birth Date

Month Day Year

Parent Or Guardian's Name

First Name Last Name

Cell Phone

Area Code Phone Number

Home Phone

Area Code Phone Number

Email

Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Referred By:

Contestant information which will be read by the Emcee during the pageant.

Contestant's Name

Contestant's Age

Hometown

Hair Color

Eye Color

Favorite Color & WHy

3 Words That Describe You

Ambition In Life

Person You Most Admire

Consent

I undersigned do hereby release & authorize my photos to be used for publicity, promotional, or commercial purpose in conjunction with Starkydz Pageant. I also release Starkydz from any responsibility or claim due to injuries suffered by me, my family, or my personal property damaged or lost during travel from my home to the place of the contest and during participation times at the event. I also agree to abide fully by the rules & regulations of the pageant and by the decisions of the judges. We reserve the right to combine or delete divisions if less than 3 contestants per division. Director also reserves the right to titles and prizes. Age is based on the date of the pageant. Starkydz has the right to refuse any contestant for not complying with the rules & regulations of the pageant. I understand there will be absolutely NO refunds.

Check Here To State That You Have Read The Consent Section

I Have Read The Above & Agree

My Products

Supreme Package Entry - Includes beauty & neon wear $ 50.00

Superstar Package Entry - Includes beauty, neon wear, 1 photogenic pic., spokesmodel & talent $ 100.00

Photogenic $ 10.00

Spokesmodel $ 25.00

Talent $ 25.00

Both Poster Contest Categories $ 25.00

Cover Model Poster Contest Only $ 15.00

Neon Cover Star Poster Contest Only $ 15.00

Additional Photogenic or Poster Pics ($10 each) $ 10.00

Quantity

Click submit then you will be directed to a payment screen