Pageant Kingdom International 2009 Official Application
July 24-26, 2009 - Holiday Inn Hotel & Suites, Bristol, Virginia
Contestant Name:______
Birthdate:______
Parent Name:______
Valid Email Address (mandatory)______
Alternate Email Address ______
Cell Phone Number:______
Mailing Address:______
City:______State:______Zip: ______
Date Application Sent:______
How did you find out about the pageant? Check all that apply…
Internet______Paperwork ______Word of Mouth_____
Another Contestant _____ Who was it?______
(A $500 CASH Prize is given to the one contestant with the most paid referrals).
Contestant Age Group (Check age group that applies). 30 day grace period. If your birthday falls within 30 days prior to the pageant, or 30 days after the pageant, you may choose to fall back or bump up.
0-18 mths_____ 19-35 mths ______3_____ 4_____ 5_____ 6_____
7_____ 8_____ 9-10_____ 11-12_____
13-15_____ 16-19_____ 20’s_____ 30’s + _____
Our entry fee is ALL-INCLUSIVE. You pay one price for everything! Fee includes all competitions, all titles, all optionals, extra photos, talent competition (if you wish to participate). There are no door categories, no ad pages to sell, no hidden suprises. FREE ADMISSION TO ALL EVENTS. One fee covers it all! Paypal STRONGLY encouraged for payment. Contact us at today for other payment arrangements. $100 deposit due with application. Balance MUST be paid in the form of CASH at registration. Discounts earned via photo contest or guestbook drawing will be deducted at registration. Novice or Pro status for our novice awards will be determined at registration. Novices have never won more than $250 CASH with a single title.
Application should be emailed to
Paypal address for payment is
Check the fee applicable selection below.
Check appropriate selection. Select one(1) choice.
*Note that age divisions for 13-up do not make a glitz or natural selection.
ENTER NOW…
Glitz Only $295______Natural Only $295_____
BOTH GLITZ AND NATURAL $395_____
*Ages 13-up $295_____
REGULAR RATES…Take effect after Earlybird Special ends
Glitz $395 _____ Natural $395_____ Both $495_____
Ages 13-up $395_____
Total Due______
Deposit ______
Discount (only one discount accepted per contestant):______
Balance:______
I understand that Pageant Kingdom International, Mystic Productions, April Brilliant (and family), PKI Staff, Tim Whitmer, PHD Photography and Videography, and the Holiday Inn Hotel & Suites (and staff) is not responsible for any injuries sustained before, during or after the pageant. The above mentioned parties are not responsible for any lost, stolen or damaged items. I understand that the judges decision is final, and I agree to act with good conduct and good sportsmanship at all times. Any bashing of the pageant, its staff, other contestants in person, on voy boards or elsewhere will simply NOT be tolerated, and could result in disqualification, revoking of title, or if deemed necessary, legal action against the parties in question. All pageant info can be found at www.brilliantpageants.blogspot.com .
Contestant Name______
Parent/Guardian Name______
Date Noted:______
Please send your application to
Paypal payments sent to the same address