Little Mister & Little Miss

Parent/Guardian Information

First Name

Parent/Guardian's Information

Last Name

Email Address

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Work/Cell #:

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

I UNDERSTAND THE ENTRY FEE IS NON-REFUNDABLE
*

CONTESTANT AGE ON OCTOBER 1, 2025

Must be between the age of 5 & 7 on 10/1/25

Is Contestant a fulltime Brazoria County Resident?

YES
NO - not eligible to participate

YES

NO - not eligible to participate

Full Name

Date of Birth

Age

Grade

Hair Color

Eye Color

Siblings Names

Pet Types & Names

Favorite Game or Toy

Favorite Color

Favorite Food

Favorite TV Show

What would Contestant like to be when He/She grows up?

BIRTH CERTIFICATE

RECENT HEADSHOT PHOTO

Little Mister & Miss Entry Fee

$20.00

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