Welcome to Miss Leesburg.com
Untitled Document
Application Deadline - August 25
Please fill out completely.

NAME *
AGE
PARENT'S NAME
(exactly as you would like it read on stage)
SCHOOL
GRADE
GPA (Miss Contestants Only)
FAVORITE SUBJECT IN SCHOOL
FAVORITE COLOR
FAVORITE FOOD
FAVORITE PLACE TO VISIT
FAVORITE TOY
(for Tiny Miss and Little Miss only)
FAVORITE SONG
HOBBIES
COMMUNITY ACTIVITIES, CLUBS, AWARDS, HONORS
AMBITION - ONE DAY I WOULD LIKE TO BE
SPONSOR
DATE OF BIRTH
PHONE
EMAIL *
ADDRESS
CITY
ZIP
Tiny Miss and Little Miss Only - On a 3 X 5 index card, please write some info about the contestant - something the MC can use to ask the questions on stage (something she enjoys doing, something special about her, pets, friends, family, etc). BRING TO REHEARSAL TO GIVE TO MC.
I agree that the pageant or the facilities where the pageant is being held is in no way responsible for any accidents or injury that may occur. I hereby state that the information given on this application is true. I agree that my family and I will show forth good sportsmanship conduct at all times. I understand that if my daughter is selected as a winner, she will be expected to participate and attend all scheduled activities throughout the year.
The winner of Teen Miss and Miss must sign a Code of Conduct agreement.
Security Code *
PARENT'S SINGNATURE
DATE
 
$75 Entry Fee must submit with application
Mail Check: 1514 N. Lakeview Ave. Leesburg, FL 34748
Other Options Venmo- @FLHometown or CashApp- $FLHometown
 
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