Natural Image of Beauty Pageant

2011/2012

Registration


Natural Image of Beauty Registration Form, complete after submitting payment here.

Registration Only Button
If you would like to donate $ 5.00 of your registration fee to the Cancer Walk click this button.

If you would like to donate $ 5.00 of your registration fee to the Michael Jackson Family Foundation click this button.
 

Please identify and describe the child to be entered into the contest.

First Name
Last Name
Middle Initial
Date of Birth
Sex Male Female
Height
Weight
Hair Color
Eye Color

Please provide the following contact information for the parent or guardian:

First Name
Last Name
Relationship to the Child
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Cell Phone
Home Phone
FAX
E-mail
Comment's

  Remember to complete both steps - Submit the form and then Payment for completed Registration .

Please email a photograph of the child  to


Natural Image of Beauty Pageant 2011/2012 ( P.O.W.E.R.S., Inc.)
Copyright 2011-2012 [Natural Image of Beauty Pageant 2011/2012]. All rights reserved.
Revised: 07/05/11