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DEBI LOU PRODUCTIONS

HOME
ABOUT
MEDIA
- PAGENTRY
- MODELING
EVENTS
TRAINING
- PAGEANT
- MODEL
APPLY
SCHEDULE
CONTACT

Select One*

Teen Ages 14 - 17

Miss Ages 18 & up

First Name*

Last Name*

Address*

City*

State*

Contact Number*

Contestant Email*

Age*

Grade*

School/College

Parent's Name (if under 18)

Parent's Contact Number

Parent Email

I am a U.S. Citizen*

Agree

Disagree

I meet the age requirements for this year’s pageant.*

Agree

Disagree

I have never been married or had a marriage annulled. (Applies to Teen contestants only.)

Agree

Disagree

I have never given birth to a child, am not a parent/guardian, and am not currently pregnant (Applies for Teen Contestants only.)

Agree

Disagree

I have never had semi-nude or nude photos or footage taken of me.*

Agree

Disagree

I agree that all the information entered above is are true and submitted by me, my parent or legal guardian.*

Yes

No

Pageant Registration Form

Please fill out the form and click "Submit" after completion.

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