Miss Chinatown Las Vegas Pageant
Contestant Application Form

Enclose with this application:

A current wallet size photograph
Copy of your Drivers License and/or ID

Please Print Clearly

 Name: _____________________________________________________________________________

 Home Telephone: ________________________      Cellular / Beeper:  ___________________________

 E-Mail: _____________________________________________________________________________

 Address: ___________________________________________________________________________

 Date of Birth: ________________________   Place of Birth: ___________________________________

 Nevada Resident  ( Yes / No )         U.S. Citizen  ( Yes / No )

 Have you ever been married? ______________________ Children?  ___________________________

 Mother’s Nationality: __________________________ Father’s Nationality: _______________________

 Occupation: ________________________________________________________________________

 Your Talent Choice: ___________________________________________________________________

By Signing, I state that all the information entered on the Official Contestant Application form is true and correct.  I acknowledge that I have read and understand fully the rules and regulations pertaining to the Pageant.

 Signature__________________________________________________ Date ____________________

 Parent/Guardian_____________________________________________  Date ____________________