Contestants Name
Age Div entering
Email address:
0-6 years
7-12 years
Contestants AGE:
13-17 years
Mailing ADDRESS:
18 years & up
Contestant
Signature Parent
or Legal
Gaurdian's
Signature:if
contestant is under
18 years of age
How did you hear
about our pageant/
REFERRAL
Miss Dazzling Beauty Supreme Queen is an honor! If you are chosen as our   
Supreme Queen, what do you plan on doing with this title?  
What kind of person should be selected as Supreme Queen and Why?
What goals have you set for yourself and how would this title help you achieve
those goals? And our final interview question "What does Beauty mean to you?"
ALSO Please submit 1 headshot Photo and 1 CREATIVE PERSONALITY Photo
Headshot may be natural or glitz
Creative photo may be anything from fun, to silly.

You will also be judged on these photos as well..
Clarity, Overall Impression, How creative the photo is.
     PAYMENT
ALL FEE'S AND ENTRY MATERIAL MUST BE TURNED IN
TO US and PAID BY THE DEADLINE!

**NO REFUNDS**  
Entry fee
Fee $110
please add $5.00 if you do not
have a city/state title with us
OPTIONALS
Photogenic Beauty (INCLUDED)

Model Beauty

Best Personality

Prettiest Smile

Prettiest Eyes
Entry Fee:
Discounts
**PLEASE add your optional
payment to the total ..thank you!
Total Due
Please submit payment via paypal
to DazzlingPageant1@aol.com

please email all photo's to
DazzlingPageant1@aol.com

Good Luck!