Miss Black Ohio

Empowering Young Minds Through Achievement and Success
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 Miss Black Ohio Pageant

  

 

Looking for representatives from Cleveland, Cincinnati, Dayton, Toledo, and Columbus to become delegates in the 2010-2011 Miss Black Ohio Pageant. We are limiting our selections to only 5 young ladies to represent their great city. Do you have what it takes?

 

Register Today!

 

A non-refundable one-time registration fee $50.00

 

 no-refunds, cash – cashier checks – money order- paypal CAN be accepted as payment toward fees

 

Requirements:

We are looking for strong representatives in Black Ohio with a good educational background, community driven,   public interests, dedication for a good cause, interest shown towards the human rights and the well-being of mankind, well spoken, self-motivated and a hard worker.  Finalist in the Miss Teen and Miss categories will move on to compete in a national pageant. 

 

 

_______________________________________                               __________________

Signature of Applicant                                                                            Date

 

________________________________________

Printed Name of Parent or Guardian                                                                          

 (If applicant is under 18 years of age)

 

________________________________________                                ________________

Signature of Parent or Guardian                                                              Date

(If applicant is under 18 years of age)

 

 

 

Categories

Please note as of 1-1-10 SOME OF OUR CATEGORY TITLES HAVE CHANGED TO REFLECT A GREATER DEMOGRAPHIC

 

Miss Black Ohio Little Miss.… Ages 7 - 9

 

Miss Black Ohio Pre Teen…… Ages 10 – 12

 

Miss Black Ohio Teen………… Ages 13 - 17

 

Miss Black Ohio Ages............ Ages 18 - 25 

   

Applicants Personal Information

(Please print clearly)

 

Name: ____________________________________________________________________________

            First                                                                   Middle                                                  Last

 

Name of Parents: __________________________________________________

 

Street Address:_____________________________________________________________

 

 

City/State/Zip_________________________________________________________

 

 

Age as of

01/01/2009: _______DOB: Month:__________ Day: __________ Year:_________

(background check mandatory for contestant over the age of 18 years of age)

 

 

Home Phone: (     )_________________ Other Phone: (     )__________________

 

Other Phone: (     )_______________________

 

Email Address: ____________________@ Yahoo, AOL,HOTMAIL,[__________]other

                          (email address is mandatory and can be obtained free at yahoo, hotmail, or other providers)

 

 

Talent:__________________                           Category:__________________

 

 

* First name (required):

* Last name (required):
* E-mail address (required):

Phone number:
* Message (required):