PAGEANT REGISTRATION

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Delegate Name

First Name

Last Name

Which division are you registered for

Miss Princess California International (Ages 6 - 9)

Miss Pre Teen California (Ages 10 - 12)

Miss Teen California International (Ages 13 - 18)

Miss California International (Ages 19 - 30 )

Ms. California International (Ages 19 and up)

Mrs. California International (Ages 21 - 56)

What city or county would you like to represent in the California International® competition?

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Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Country

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Phone Number

Area Code

Phone Number

Delegate's Birth Date

Delegate's Age

State / Province

T-Shirt Size

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Parent/Guardian (Pre Teen & Little Miss Only)

First Name

Last Name

Comments or Questions

D3 Production

Hilton San Diego Gaslamp Quarter