2023 Fair Queen Application

This form is an application to participate as a contestant in the 2023 Elkhart County 4-H Fair Queen Pageant. Please fill out all fields below. You will also need to attach a photo as well as a resume. In place of a resume, you may also use the contestant information form here.

Please note that a fee of $100 is required with submission of this application. Applicants are responsible for acquiring payment from their sponsor.

If you have questions or concerns, please contact Mary Dale at marydale_realtor@yahoo.com.

Contestant Information

First Name

Last Name

Email Address

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Contestant to be known as:

Date of Birth

Age as of July 21, 2023:

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

School Information

High School Attended

Class in Fall of 2023

(ie: sophomore)

College/University

(Currently attending or future plans)

Major of study or study interests:

Parent Information

Parent Name(s):

Address

(if different from contestant)

Parent Phone Number

Sponsor Information

Name of Sponsor

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Upload

Upload Contest Photo

Upload Resume * Documents need to be in .pdf format.

Registration Fee

2023 Fair Queen Fee

$100.00

Please read the Rules & Regulations.

I agree to the terms and conditions

Submit