Pageant Participant Registration

Form
PLEASE PRINT ALL INFORMATION
Participant Name: ____________________________________________________________
Owner(s): ____________________________________________________________________
Breed (if possible):_____________________________________________________________
Age: ___________________

Favorite food: _______________________________________

Favorite past time: _____________________________________________________________

Other: _______________________________________________________________________

Please check each contest category in which you would like to enter your dog. Entry fee is $5
for one contest and $10 for entry into an unlimited number of contests. * Mini pageants are free
of charge.
Please remember we are dealing with animals so pageant times are estimates. We appreciate
your patients.

Major pageants
(Entry fee required)

Mini pageants*
(No entry fee required)

_____Costume (10:00)

_____ Biggest
_____ Smallest

_____ Look alike (10:30)

_____ Most unique

_____ Talent (11:00)

_____ Longest tail

_____ Mr. Bark for Life (12:00)

_____ Miss Bark for Life (12:00)

_____ Biggest ears

_____ Oldest
_____ Youngest
_____ Biggest Smile
_____ Crowd Favorite

Participant Signature: ________________________________________________________

(Signature of parent or legal guardian if human participant is under 18)

Date: _____/______/____
Please make checks to: American Cancer Society