Please complete ALL of the information below
to apply for the 2023 pageant.
First & Last Name: 
Referred by:
Referred by: Street Address: City: State: ZIP Code: Date of Birth : Age: Phone Number: Cell Phone: Business Phone: Occupation: Email Address 1:
Email Address 2:
Education:
Appointed Titles:
AGE DIVISIONS:
Select One:
Parent or Guardian's Name: (if applicant is under 21)
(if applicant is under 21)Parents Email Address:
No experience necessary.
No talent competition
Everyone is Captivating!
Registering 2023 Applications TODAY
After you click submit you can make an online payment through our secure PayPal account by clicking the credit card link below.
Click On Credit Card Logo
NEXT STEP - EMAIL YOUR SNAPSHOT
to complete your applicaion.
Also email to Director at captivatingpageants@gmail.com snapshot of yourself.
Don't forget to email your jpeg headshot after you hit the submit button.
Be your city's or state's represenative today!
Title: Your title can only be (15) characters long including spaces.
**If you submit a request for title that is longer than allowed it WILL be Changed.
Early Entry Fee $500
After Jan. 1st, 2023 Entry Fee is: $595
2023 Official titles will be sent out on Oct. 1st, 2022
Deadline to
Apply
July 1st, 2023
2023
Official titles will begin Registration on
Oct. 1st, 2022
