Pageant Entry

Online Entry

If you are entering more than one pageant or signing up more than one person, you will need to fill out more than one form.

DO NOT submit your form online if you are selling tickets or mailing your form to us.

Thank You!

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Contestants Name:

Sex:

Age:

Date Of Birth:

Address:

City:

State:

Zip Code:

Parents/ Guardian Name(s):

Home Phone:

Cell Phone:

Email Address:

These are some of my favorite things ( Diamonds on Ice Only ):

IDOL ONLY-- Music Title and Artist:

Sponsor:

Referred By ( Please fill out if you are new ) / How Did You Hear About Us:

Payment Method: 
If paying Paypal there will be a $2.00 service charge. Once your form is recieved we will reply via email with the total and contact you on Paypal .  The email will be from Galaxypageants@yahoo.com. This will need to be paid no later than 3 days after receiving your invoice!
If paying with other methods we will contact you and make arrangements!

Release Form
By submitting this form I understand that Galaxy Pageant Productions, directors, staff, or anyone associated with any of the above events will not be held responsible for injuries, losses incurred, or damaged items during these events. I also agree to show good sportsman ship and to respect the decision of the judges.