Application for 2020 Miss Hempstead County Relay for Life Pageant
Name:___________________________________________
Age:______________________
Parents:__________________________________________
Hair Color:____________________ Eye Color:_____________
Favorite food:_______________________________________
Favorite TV: Show____________________________________
Hobbies__________________________________________
Tiny Miss (0-11months) Baby Miss (12-23 months)
Toddler Miss (2-4) Little Miss (5-8)
JR Miss (9-13) Miss (14-18)
Cost: $50 for pageant $10 photogenic 5×7
Cash or money orders only NO CHECKS!
The deadline to register is March 30th. Forms and money can be turned in at the County Clerk’s office in the Hempstead County Courthouse. Contact Karen Smith 870-703-1138 for more information.