Registration for Inspiration PreTeen/Teen/Miss/Mrs/GrandMom INSPIRATION Bharat Georgia 2023

Fill The Application

Participant Information

Full Name *

Last Name *

Birth Date (must be 10 or older) * +

Age *

Height (No Special Character) *

Gender *

Category *

Phone Number *

WhatsApp number *

Email *

Picture

Address 1 *

Address 2

City *

State *

ZIP *

Your occupation:

Education

Why do you want to participate in this pageant?

Hobbies and Interest:

Please list any and all handicaps that apply to you:

Name of health insurance: Policy #

Your physician’s name: Tel:

References:

FOOD INformation  Vegetarian  Non-Vegetarian

 Microphone  Microphone and Podium  Other (please describe)

Any special dietary needs

Pls Provide Talent Information...

Languages spoken *

Do you need an interpreter

Special Requirements:

Any information that was not included in the application may be stated here:

Father’s name:

Mother’s name:

Guardian’s name (if different from parents’):

Guardian’s address:

Activity # *

Entry Fee ($) *

This Entry Fee Includes:-

Ramp Walk Training

Grooming , Lunch and Dinner

Conference call session , Phone Support

Please Read And Sign.. I have read the Terms and Condition carefully and agree to follow the Rules and Regulations for the Above pageant I wish to enter. I certify that the information presented in this form is correct and true. I understand that the Inspiration Enterprises reserves all rights pertaining to this contest and its decision is final. All Entry Fee is Non Refundable and can not be returned or canceled. All THE REGISTRATION FEE is NON REFUNDABLE as not included in the application may be stated here: WRITE YOUR NAME IN BOX * *

All the payments are final and NON REFUNDABLE - SIGN HERE *

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