Miss & Mr. East Jordan Firecracker

Patriotic Pageant

Sponsored by: Castle Farms, 1918 Cellars Tasting Room & Bistro & The Boathouse on Lake Charlevoix

Pageant Registration

Contestant's Name *

Age *

Select Age/Grade Division: *

Little Miss and Mr. Firecracker (5-8 Years old)

Junior Miss and Mr. Firecracker (9-12 Years old)

Miss and Mr. Firecracker (13-16 Years old)

Parent's Name *

Home Phone *

Home Address *

*Must be a Resident of East Jordan & have an East Jordan Address*

Business Sponsor (If any):

Business Phone

Business Sponsor Contact Person

Siblings Names and Ages:

Pets

School

Favorite Class

Hobbies

Favorite TV Show

Favorite Book

Favorite Song

Favorite Color

Favorite Food

Favorite Dessert

Favorite Place in East Jordan

Why would you like to be Royalty on the Miss and Mr. East Jordan Firecracker Court and Represent your town of East Jordan? *

*This is for All Divisions*

What is one think you would like to see added or improved for your age demographic in the city of East Jordan? *

*Question for Teen and Miss and Mr. East Jordan Firecracker Contestants*

Total Due