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Application Deadline - November 3

Please fill out completely and Submit.
Entry Fee Info:
Mail Check: P.O. Box 337 Fruitland Park, FL 34731 
Other Options: PayPal- Linda@FLHometownUSA.com
Venmo- @FLHometown or CashApp- $FLHometown

Age: Email:
Age Division: City:
Zip: Phone:
Birth Date: Eye Color:
Grade: Hair Color:
Parent Name:
Favorite Vacation:
Favorite TV Show
or Movie:
Favorite Subject:
Favorite Thing to do
in your Hometown:
Ambition - One Day
I Would Like To Be:
Child - T-Shirt
(Select your size) S (6-8)   M (10-12)   L (14-16)
Adult - T-Shirt
(Select your size) S   M   L XL
I do hereby agree to abide by the rules and regulations of the pageant. I, the undersigned, fully agree and understand that the pageant or the facilities where the pageant is being held is in no way responsible for any injuries or accidents that may occur. I agree that the Judge's decision will be final and that my family and I will show forth good conduct at all times. I
I release consent for any photographs and videos taken to be used by the pageant for promotional purposes.
Parent Signature: Date:
Security Code:  
Application and Payment DEADLINE is NOVEMBER 3.
PayPal: Linda@FLHometownUSA.com or Venmo: @FLHometown or CashApp: $FLHometown
Or Mail check payable to: Florida's Hometown USA P.O. Box 337 Fruitland Park, FL 34731