Pageants

Please complete the Application, Waiver of Liability, and Medical Release Form/Media Information Sheet. You must also provide a copy of the child’s birth certificate. You can complete the electronic forms below and pay online or print paper copies and mail them with a check.

REGISTER ONLINE NOW?*
- Yes!
Registrant Information
Contestant Name
First Last
Age*
as of 8/10/24
Date of Birth*
MM slash DD slash YYYY
Birth Certificate*
A copy of the registrant's birth certificate is required for age verification.
Birth Certificate*
Please upload a PDF or JPG copy of the registrant's birth certificate for age verification.
Accepted file types: pdf, jpg, Max. file size: 512 MB.
Address*
Street Address City State ZIP Code
Contact Phone*
Contact Email*
School or Daycare
Grade*
T-shirt Size*
All contestants receive a free t-shirt.
Father's Name*
First Last
Mother's Name*
First Last
Hobbies or Activities Registrant is Involved In*
Name of Parent/Guardian Completing This Form*
First Last
Signature*
By checking the box below, I, the legal parent/guardian of the pageant entrant, am electronically signing the pageant entry form and certify that the information contained is true and correct to the best of my knowledge.
- I agree
Waiver of Liability
In consideration of inclusion as a participant in the Lexington Blueberry Festival of Ohio, participant agrees to indemnity and hold harmless the Village of Lexington, the Lexington Blueberry Festival of Ohio directors, members, agents, employees, representatives, and assigns from and against any liability, loss, costs, demand, claims, fines, debts, or judgments that participant or participant’s members, performers, employees, agents, independent contractors, volunteers, or customers may sustain or incur as a result of or arising from participant’s involvement in the Lexington Blueberry Festival of Ohio. Such indemnification will include all reasonable attorney and legal fees. I agree to venue in Richland County, Ohio. In addition, participant stipulates that the Lexington Blueberry Festival of Ohio, its agents, employees, and representatives have made no representations, promises, or guarantees regarding the condition, safety, or suitability of any location or equipment provided for any purpose or use of any kind and participant uses said location and equipment at their own risk.
Signature*
By checking the box below and providing my cell phone number, I, the legal parent/guardian of the pageant entrant, am electronically signing this Waiver of Liability and I agree that I have read and understood all of the foregoing. I further agree that I and/or my organization will comply with all festival rules and regulations and be bound by the decisions of the Lexington Blueberry Festival of Ohio.
I agree
Parent/Guardian Cell Phone*
Medical Release Form for Registrant
Physician*
Physician Phone*
Medical information that may affect activities*
If not applicable, please put n/a.
Name of Health Care Insurance Provider*
Health Insurance ID Number*
Group Number*
Signature*
By checking the box below, I, the legal parent/guardian of the pageant entrant, am electronically signing the Medical Release Form and agree to the following:

In my absence, should the need arise while she is participating in the Baby Miss, Wee Miss, Little Miss, Jr. Miss, Miss, or Miss Teen Blueberry Festival Pageant, I hereby authorize, consent, and direct the Lexington Blueberry Festival of Ohio, its representative, or any physician, hospital, or other health care provider selected by the organization to take such action as is necessary in the circumstances to provide emergency care and related treatment of the above-named registrant. I hereby designate the Lexington Blueberry Festival of Ohio, or its director, my authorization agent for the signing of consent forms required by such health care providers in connection with such health care.
I agree
Registrant Media Information
Signature*
By checking the box below, I, the legal parent/guardian of the pageant entrant, am electronically signing to authorize the registrant to be photographed, quoted, or other likeness used for the promotion of the Lexington Blueberry Festival of Ohio and its activities.
I agree
Entry Fee*
Price:
Total
$0.00
Payment Options*

Pay now online

Send physical payment later
Entry not valid until fee is paid. Please send payment to: Lexington Blueberry Festival of Ohio, c/o Amber Cleland, 403 Fox Road, Lexington, Ohio 44904
CAPTCHA

Saturday, August 10, 2024

Heartland Church

ALL WINNERS will be crowned on the Main Stage at Lexington Community Park on Thursday, August 15th at 7:00 pm

View/Print the Pageant Flyer

NOTE: Pageant is limited to 25-30 entries per age group.

ENTRY FEE for the PAGEANT until July 19, 2024 is $60.00

NOTE: After July 19, 2024 the Entry Fee goes to $80.00.

Registrant Information

Waiver of Liability

Medical Release Form for Registrant

Registrant Media Information

Print Pageant Registration Forms

Thursday Night Blue Lights and Bubbles Parade

Parade Entry

Order Information

Print Pageant Parade /Extra T-shirt Form