$795 All Inclusive Fee until June 15, 2012

Registration Fee - FREE

$10 Admission Ticket # needed (children 2 & under free)



Contestant's Name:

Parents/Guardian :

Address :

City :

State :

Zip :

Daytime Phone :

Evening Phone :

Date of Birth :

E-mail :

Age :

Requested Place in Line-up (please check one)




No Preference

Other :

We would like to accommodate everyone on "line-up". You will be placed in line-up as soon as your entry form, deposit, wallet-sized photo (for program book), and emcee sheet are received. Please note this is still on a first-come-first-serve basis. We cannot promise you the position you request, but we will try our best to ensure your requested placement.

Refered By :

Terms & Conditions

By submitting the online registration form and Emcee form with payment, I agree to hold harmless, indemnify and release from all claims Universal Glitz N Glamour Pageant, a Sole Proprietorship, legally documented through the Durham, North Carolina Register of Deeds, the Director and her family, any assistant or any of it's facilities where the pageant is taking place and hotels, responsible for any injury, theft or loss I incur. All judges decisions are simply opinions. I realize that Universal Glitz N Glamour Pageant uses everyday people and people who are familiar with or who have been involved in pageantry, for their pageant judges, and I am paying for their opinion of my child, which I may or may not agree with. I understand that good sportsmanship is required and I may be asked to leave the pageant without fees refunded if I, my child or any guests or family members that attend the pageant on behalf of me or my child do not abide by this rule. No refunds or transfers are permitted. Proof of age must be submitted if asked for and if not provided prior to start of pageant, my child will not be permitted to compete and all fees paid will be forfeited. I accept full responsibility for any and all charges to my hotel room, telephones and restaurants and I agree to take care of these charges before I leave the hotel. I agree photo's and videos that are taken at the pageant of me or my child may be used for advertising purposes for the Universal Glitz N Glamour Pageant website, Facebook page, written or any other marketing or promotional materials that may be used by Universal Glitz N Glamour Pageant. Universal Glitz N Glamour Pageant reserves the right to substitute a prize of equal or greater value. I hereby state that everything I have included on this form is true to the best of my knowledge.

Type Name :

Today’s Date :


Contestant's Name:



Age Group:

Hair Color:

Eyes Color:

Favorite food:

Favorite Person:

Hobbies :

Ambition in Life :

Favorite Color:

Something Special :

Age :

Optional Events Entered

Swim wear


Outfit of Choice

Payments Accepted:
Mastercard, Visa, AMEX, Discover (CASH ONLY at Final Registration)

If paying with Money Order, payment should be made payable to:
Universal Glitz N Glamour Pageant

Mail Registration Form, EMCEE Form & Payment To:
Universal Glitz N Glamour Pageant
2512 Oleander Drive
Durham, NC 27703

To Pay Your Deposit with PayPal:

Note: A 4% Processing Fee will be added to Your Total at final registration

To Pay Full Pakage Payment with PayPal:

Print the Registration and National EMCEE Forms for mail in entry, Click on file type below: