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2020 Candidates
Prospective Contestants and Parents
Prospective Contestant Application
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Prospective Contestant Application
Parents of prospective contestants should complete the following form and the Pageant Committee will contact you soon!
Event Date:
Saturday, February 8, 2020
Event Time:
2:00 PM
Location:
Philippine Cultural Center of Virginia
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Contestant Name
*
First
Middle
Last
Contestant Nickname:
If none, leave blank.
Date of Birth:
*
example: October 26, 2010
School Name:
*
Grade:
*
First Parent's Name or Guardian's Name
*
First
Last
First Parent/Guardian's Address:
*
street, apt# (if applicable), city, zip code
First Parent/Guardian's Email Address:
*
Email
Confirm Email
First Parent/Guardian's Home Phone:
*
for example (no dashes or periods, numbers only): 7579891234
First Parent/Guardian's Work Phone:
*
for example (no dashes or periods, numbers only): 7579891234
First Parent/Guardian's Cell Phone:
*
for example (no dashes or periods, numbers only): 7579891234
Second Parent's Name or Guardian's Name:
*
First
Last
Second Parent/Guardian's Address:
If different from above otherwise, leave blank
Second Parent/Guardian's Email Address:
*
Email
Confirm Email
Second Parent/Guardian's Home Phone:
for example (no dashes or periods, numbers only): 7579891234
Second Parent/Guardian's Work Phone:
*
for example (no dashes or periods, numbers only): 7579891234
Second Parent/Guardian's Cell Phone:
*
for example (no dashes or periods, numbers only): 7579891234
Names and Ages of Siblings of Contestant
*
for example: John Smith - 7 yrs old, Jessica Smith - 15 yrs old
Emergency Contact Name:
*
First
Last
Emergency Contact Address:
*
street, apt# (if applicable), city, zip code
Emergency Contact Relationship:
*
ie: Auntie, Uncle, etc.
Emergency Contact Phone Number:
*
for example (no dashes or periods, numbers only): 7579891234
Phone
Submit
Prospective Contestant Application
Parents of prospective contestants should complete the following form and the Pageant Committee will contact you soon!
Event Date: Saturday, February 8, 2020
Event Time: 2:00 PM
Location: Philippine Cultural Center of Virginia