Miss Genola 2024 (Junior Miss, Little Miss and Mini Miss Too) Participant’s Name: First Last Participants age: Participant’s Grade: Date of Birth: MM slash DD slash YYYY Any Allergies? T-Shirt Size (Adult) XS Small Medium Large XL XXL (Select one)T-Shirt Size (Kids) XS Small Medium Large (Select one)Participant’s Mobile Number:Can we text you? Yes No (Select one)Division applying for: Mini Miss (4-6 yrs) 20$ Little Miss (7-10 yrs) 20$ Jr Miss (11-14) $40 Miss (15-19) $50 Parent’s/Guardian’s Name: First Last Parent's/Guardian's Email Address(Required) Preferred Contact Number:(Required)Can we text you? Yes No (Select one)Miss and Junior Miss contestants will receive bonus points (maximum of 10 points) for parent participation. Help from Little and Mini parents is appreciated! Please mark areas you are willing to help. Workshops Parade scheduling Pageant Set-up (May 11, 2024) Backstage Help (May 11, 2024) Organizing Contestants' Dinner Other (please specify below) (Select all that apply)Other Questions: Call/Text Laurel Bishop (385) 314-2169 or Email [email protected]The Miss Genola Program Committee is not responsible for any lost, stolen or damaged items during program related activities.Miss Signature:Parent/Guardian Signature:Credit Card Processing Fees Price: $0.00 Stripe processing fees are added to the total price you pay. Stripe fees are 2.9% +$0.3Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name