2024 Application

this application is designed to be
completed on a computer - not your cell phone.

PLEASE COMPLETE the application ON A COMPUTER
if at all possible,
or you may experience technical difficulties.

YOU MUST COMPLETE THIS APPLICATION

WITH YOUR PARENT OR GUARDIAN PRESENT!

Is your parent or guardian with you right now?

YES

DO NOT MOVE ON IF YOUR PARENT OR GUARDIAN IS NOT WITH YOU.

IF YOU SIGN FOR YOUR PARENT OR GUARDIAN

YOUR APPLICATION WILL NOT BE ACCEPTED!

YOU MUST ALSO PAY THE $25 ENTRY FEE BEFORE

YOUR APPLICATION CAN BE ACCEPTED - LINK AT BOTTOM OF APPLICATION.

The Miss 22 Quties Beauty Pageant provides an opportunity for young ladies with special needs who are between the ages of 14 and 25 to participate in an event that builds friendships and instills confidence. This group of young ladies competes for the title of Miss 22 Qutie. The pageant also includes recognition of the First and Second Runner Up, and Miss Congeniality.

To be considered for participation in Miss 22 Quties, applicants must:
• be between the ages of 14 and 25 as of the day of the pageant and have a disability.*
• be one of the first 25 girls to complete an application, be reviewed, and accepted.
• be physically present at the 3 mandatory practices and at least 6 out of 8 remaining practices.
• be able to fully comply with the Participant Agreement that follows.
• meet the criteria outlined by the Americans with Disabilities Act*

*According to the Americans with Disabilities Act, an individual with a disability is a person who: has a physical or mental impairment that substantially limits one or more major life activities, or has a record of such an impairment, or is regarded as having such an impairment.

Participants will:
• perform an opening dance as a group.
• share their individual talents.
• participate in a Q&A session with the judges.

Pageant and all practices will be held at

Victory Family Church, 21150 Route 19,
Cranberry Twp., PA 16066.

Application Disclaimer: Miss 22 Quties Beauty Pageant is limited to 25 participants. Applicants will be reviewed and considered in the order in which their completed application packet is received.

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Email- this is our main form of communication

Parent/Guardian Phone

Street Address

Street Address Line 2

City

State

Postal / Zip code

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Relationship with Applicant

Phone

PLEASE READ EACH OF THE FOLLOWING STATEMENTS THOROUGHLY!

BY CHECKING 'YES' YOU AGREE TO THE STATEMENT.

THESE STATEMENTS WILL BE ENFORCED FOR THE 2024 SEASON.

BEHIND THE SCENES

The Miss 22 Quties Board of Directors recruits numerous volunteers with clearances to assist the participants in the dressing room on the day of the pageant. If your participant needs additional assistance with wardrobe changes, we ask pageant parents to help, but otherwise, remain in the audience. Unfortunately, considering the number of participants, outfits, talent, props, and volunteers, we have very limited space, which limits the number of people we can have backstage. Thank you for being understanding.

I, parent or guardian of the pageant participant acknowledge that parents/guardians are only allowed back stage to assist with wardrobe changes.

YES

PRACTICE DATES

Practices will be held on Tuesday evenings from 6:30 PM to 8:30 PM except for dress rehearsal, which will be held at 5:30 PM. A schedule will be provided at the first practice. Missing more than two non-mandatory practices may disqualify you from participating in the pageant. The board reserves the right to deal with missed practices on a case by case basis, however, please recognize that excess absences will not be tolerated as it is unfair to the other participants.

I, parent or guardian of the pageant participant agree to attend the following mandatory practices: 5/21, 7/23, 7/30.

YES

I, parent or guardian of the pageant participant agree to attend a minimum of 6 of the 8 non-mandatory practices.

YES

FINANCIAL COMMITMENT disclaimer

Miss 22 Quties' Board of Directors does everything we can to make the pageant affordable for everyone; however, there are instances where we need assistance. We ask families to participate in fundraisers and contribute to snacks and meals. Our fundraisers include selling at least three pepperoni rolls and contributing to raffle items. Families will be asked to contribute to other needs as they arise. Each family member and guest who attends must purchase a ticket. Our intention is for finances to never become a barrier to participation; if you have concerns, please reach out to us.

GENERAL

I, the parent or guardian of the pageant participant, agree to participate in the required Zroni Roll Fundraiser. Each child participating in the pageant must sell a minimum of three rolls. Miss 22 Quties' Board of Directors will reward the participant who sells the most rolls with a prize.

YES

I, the parent or guardian of the pageant participant, agree to read and reply accordingly to ALL COMMUNICATIONS from the Miss 22 Quties organization VIA EMAIL unless otherwise specified.

YES

I, the parent or guardian of the pageant participant, agreed to partake in the FREE professional headshot session conducted by our official pageant photographer. Date TBD. Only these images will be accepted for use in our program.

YES

I, the parent or guardian of the pageant participant, agree that the pageant participant will wear formal wear during the pageant's question-and-answer portion.

YES

I, the parent or guardian of the pageant participant, agree that I was present during the application process, and I approve of the answers provided. Updates will not be accepted.

YES

I, the parent or guardian of the pageant of the participant, agree that The Miss 22 Quties Board of Directors has the right to update and rephrase any portion of the participant's biography to streamline the presentation.

YES

Applicant Information

First name

Last Name

Birthday

Email if applicable

Age as of 8/4/24

bio, q & a, and talent

Using the third person (she instead of I), please tell us a little about yourself, including things others may not know about you.

You may include information such as your job (if you work), education (were/are you involved in any extracurricular activities, do you plan on attending/did you attend college or trade school), volunteer work, participation in clubs/groups, etc.

You may also want to include who or what inspires you and why this person or thing inspires you.

Please indicate these things in paragraph form in the third person. This will be used as your bio in the pageant program. This should be roughly 1 paragraph or a maximum of 1250 characters.

Applicant Bio

Tell us three things that you want the audience and judges to know about you. These items will be read by the MC on stage during the pageant.

Please provide us with two questions. The judges will ask you these during the question and answer portion of the pageant.

Tip: Be sure to answer your own questions with details so we get to know you better - tell us WHY!

Question #1

Answer to question #1

Question #2

Answer to question #2

Your talent can be no longer than 2 minutes. Please tell us what your talent will be.

Example: dancing to Thriller, a comedy sketch, playing Somewhere Over the Rainbow on piano.

Talent

ADVOCACY SPEECH

One contestant is selected to give an advocacy speech on pageant day. This speech focuses on sharing the contestant's goal(s) for impacting this amazing community. The contestant is welcome to share her story and experiences as part of this speech.

Speeches are limited to two minutes. The contestant must write to the best of her ability. Assistance may be provided if necessary. Speeches will be given and evaluated before the pageant. One speech will be selected for presentation.

More details will be provided during pageant preparation.

I am interested in trying out to give an advocacy speech at the pageant.

YES

releases

GENERAL RELEASE:

THE TERMS OF THIS AGREEMENT SHALL ACT AS A RELEASE AND ASSUMPTION OF RISK FOR MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ALL MEMBERS OF MY FAMILY, INCLUDING ANY MINORS ACCOMPANYING ME. I UNDERSTAND THIS IS A BINDING CONTRACT THAT SUPERSEDES ANY OTHER AGREEMENTS OR REPRESENTATIONS AND IS INTENDED TO PROVIDE A COMPREHENSIVE RELEASE OF LIABILITY BUT IS NOT INTENDED TO ASSERT ANY DEFENSES WHICH ARE PROHIBITED BY LAW. THE SPECIFIC RIGHTS OF THE PARTIES MAY VARY FROM STATE TO STATE. IF ANY PART OF THIS RELEASE IS DEEMED UNENFORCEABLE, ALL OTHER PARTS SHALL BE GIVEN FULL FORCE AND EFFECT. I HAVE CAREFULLY READ AND UNDERSTAND THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. I SIGN THIS RELEASE AGREEMENT OF MY OWN FREE WILL.

I have read the general release and I fully understand the contents, meanings, and impact of this release.

YES

PHOTO RELEASE: I hereby authorize Miss 22 Quties/Dave Higginbotham permission to use my likeness in a photograph and/or video in any and all of its publications. I understand and agree that any photograph and/or video using my likeness will become the property of Miss 22 Quties/Dave Higginbotham and will not be returned.

I acknowledge that since my participation with Miss 22 Quties/Dave Higginbotham is voluntary, I will receive no financial compensation.

I hereby authorize Miss 22 Quties/Dave Higginbotham to edit, alter, copy, exhibit, publish, or distribute this photo and/or video for purposes of publicizing Miss 22 Quties/Dave Higginbotham programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product, to royalties or other compensation arising or related to the use of the photograph and/or video.

I hereby hold harmless and release and forever discharge Miss 22 Quties/Dave Higginbotham from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or behalf of my estate have or may have reason of this authorization.

LIABILITY RELEASE:

I have agreed to act as a contestant while participating in the following activity described as a beauty pageant/nonprofit event on August 04, 2024.

I am fully responsible for any and all the risks and dangers associated with transportation to and from the Miss 22 Quties Special Needs Beauty Pageant.

YES

I agree that Miss 22 Quties, Victory Family Church, any other sponsors/providers, and their employees, agents, and contractors, shall not be legally responsible for any loss, injury or damage resulting from any cause, including negligence of any party.

YES

I have read this release before signing below and I fully understand the contents, meanings, and impact of this release.

YES

I have read this release before signing below and I fully understand the contents, meanings, and impact of this release.

YES

I agree to assume all risks in connection with this activity including, but not limited to, risks associated with the location and any actions I may take while participating. To the fullest extent allowed by law I agree to RELEASE, HOLD HARMLESS, and INDEMNIFY Miss 22 Quties, Victory Family Church, their employees, agents or contractors from any liability for death, loss, injury or other damage which may occur during or as a result of this Activity or during transportation to and from this Activity, whether foreseen or unforeseen.

I agree

YES

Any Special Consideration/ Important Information

ENTRY FEE

Miss 22 Quties charges a one time fee of $25 to submit your application. This fee covers essential costs of the pageant. Clicking the button will open another tab to pay the fee, after you do that come back to complete your application by signing and clicking the submit button.

PAY ENTRY FEE

Applicant signature

Is the applicant a minor?

YES

IF YOU SIGN FOR YOUR PARENT OR GUARDIAN YOUR APPLICATION WILL NOT BE ACCEPTED!

Parent or Guardian signature

this application is designed to be completed on a computer - not your cell phone. PLEASE COMPLETE the application ON A COMPUTER if at all possible, or you may experience technical difficulties.