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Miss Black Ohio Pageant Application

Miss Black Ohio Pageant Application

Applicants Personal Information:

(Please print clearly)

Name: ___________________ _________ __________________

First Middle Last



Age as of: 01/01/2017: _______ Date of Birth: __/___/______

Home Phone: _____________________ Work Phone: __________________

Cell Phone: _______________________

Email Address: _________________________ @__________________. Com

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


Miss Black Ohio PreTeen Ages 10-12

Miss Black Ohio Teen Ages 13-17

Miss Black Ohio Ages 18-25

Requirements: Resident of Ohio at least 6 months/Natural Born Female/ African American/ Minority/Other


Talent, Swim wear, Evening, Projection questions, Opening dance production, workshop participation, community involvement

Entry fee of $200.00 and is due upon registration. Final registration March 31, 2018, (Free pageant etiquette workshops & 1 MBO T-Shirt)

Mail to:P O BOX 83107

Columbus, OH 43203