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This Application Form below must be completed & returned with full payment.

Click here for pageant information and waiver. 

Waiver may be turned in at practice or before the start of the pageant. 

-The information entered below will be your contestant's information read aloud while he/she walks on stage.

Type it exactly how someone would read it. Example: She loves to watch college football with her brothers and visit the pumpkin patch in the fall. 

-Make checks payable to Middleton Farms.

-Receive one free admission band for each additional sibling's pageant entry.

Name*

Age* ( and birthdate)

Parent/Parents' (Guardian) Name;* (Type it exactly how you want it announced on stage.)

School he/she attends:* (grade-if applicable)

Hobbies/Extra Curricular Activities;

What is your favorite fall activity, fall snack/treat, fall tradition(s)?

Parent/Guardian Phone:*

Email Address*

Please visit middletonfarmspumpkinpatch.square.site to pay for your pageant entry AFTER this form is submitted. 

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