Northwest Universal Miss and Master
DOUBLE Preliminary Pageant Entry Form

Name:   Birthdate: Age:
Parents:
Mailing Address:
City: State: Zip:
Home Phone: Work:
Email:
Pageant Date:
EMCEE INFO:
Hair Color: Favorite Color:
Eye Color: Favorite Food:
Siblings: Favorite TV Show/Movie:
Pets: Hobbies:
Ambition: Best Friend:
Sponsors:

FEES

UMMI Package A 
Includes: Beauty plus one optional event and one chaperone badge.		 $55.00
UMMI Package B 
Includes: Beauty, Talent and Theme OR Model and one chaperone badge.		 $65.00
UF Package C 
Includes: T-shirt wear and one chaperone badge		 $50.00
UF Package D
Includes: T-shirt wear, Theme wear and one chaperone badge		 $60.00
Double Deluxe Supreme Package E
Includes: Beauty, T-shirt, Talent, Theme AND Model and one chaperone badge. Qualifies the contestant for every title in BOTH pageants!		 $120.00
ALA CARTE (or if registering after the deadline)    
Beauty $40.00
Talent $15.00
Model or Theme $15.00
T-shirt $50.00
NOVICE Supreme (Not included in ANY package - Price is PER pageant) $10.00
Extra Talent/Model/Theme $10.00
Admission $2.00 per adult and children 10 years and older $Due
Late Fee $10.00
Sibling Discount ($10 off package B or D OR $50 off package E for 2nd sibling)  
Royalty Discount ($60 off package E)  
Deposit ($25 minimum Due 14 Days prior to the event) $25.00
Balance Due at the Door (Cash only - no exceptions) $
Talent 1: Talent 2:
Please Check all that apply:  Model:       Theme Wear:
I agree to hold harmless the Directors, staff and location of the Universal International Pageants from liabilities due to accidents, injury, theft, death, etc, while participating in any Universal International activity.  Good Sportsmanship is a must at all times. There are No refunds. The judge's decisions are final! 

Signature of Parent or Guardian:
Date:

**REFERRALS: You will be given $10 credit for each referral that is not on our mailing list.  Your name must appear on the referral line and the deposit received by the due date to be counted.  Referral credit will be deducted from your balance due at the door.  Refer 4 contestants and enter pkg A/C free.  Refer 5 contestants and enter pkg B/D free. Refer 5 contestants and enter pkg E free. Payment options:  We do not accept personal checks.  Cashier checks, money orders, cash and PayPal only. We can accept credit card payments via PayPal.  We will not accept PayPal less than 1 week prior to competition.  Please contact the director for more information. ****Royalty: Northwest Mini Grand Supreme, Ultimate Supreme, Grand Supreme, Overall Grand Supreme,  Ambassadors and State Grand Supremes. The prelim season runs from Regional pageant to Regional pageant and you may only win ONE grand supreme title per season. Qualifying prelim Grand Supreme winners may also compete in the royalty division.



Entry Form will be accepted ONLY with a $25.00 Non-Refundable deposit, which will be applied to your fees. This applies to all contestants.
We only accept: MONEY ORDERS or CASHIER CHECKS!
NO PERSONAL CHECKS ACCEPTED!!! NO EXCEPTIONS!!

Referred By:

DEADLINE: Entry Form, Deposit, Roster Photos & are due in the 14 days prior to the pageant.


Email: nwuniversal@comcast.net

 

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