Exceptional Abilities Pageant, Inc.
2018 EXCEPTIONAL ABILITIES PAGEANT
SEPTEMBER 1, 2018
In Southside/Batesville, Arkansas
"Sometimes you have to look at the world a little differently to see how amazing some people really are"
- Exceptional Abilities Pageant Motto
If you are new here, WELCOME! If you have participated before, WELCOME BACK! Please make sure you fill out every box with a *, otherwise it will not let you submit the application at the end, and also make sure that you click "I AGREE" at the end! THANK YOU we look forward to seeing you on September 1st, 2018.
PERSON FILLING THIS FORM OUT:
OTHER (Please explain)
If you chose other, please explain here.
WHERE DOES THE PARTICIPANT RECEIVE MAIL?
May we text you if needed?
Yes, thats the best way to reach me.
No, please call me if you have any questions.
Age on Sept. 1, 2018
Please read and click the box below.
This pageant is designed for individuals both male and female who meet the definition of disability under the Disability Discrimination Act 1995: "A person has a disability for the purposes of this Act if he/she has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day-to-day activities". Any individual who falls under this Act
to participate in The Exceptional Abilities Pageant. The Exceptional Abilities Pageant Board Members reserve the right to ask for proof of a disability by submitting such documentation as the front page of an IEP, 504 Plan, SSI or physician's documentation of disability if there is a question about eligibility. Thank you.
Check Here if you understand and agree:
Tell us about your participant:
Any Special Talents they would like to perform?:
No, thank you.
If your participant will be performing a talent, please keep it around 3 minutes. Also, please provide any props/music needed.
Tell us breifly a little bit about your participant, (likes, favorite things to do, favorite tv show, etc...) Please limit it to 100 words or less.
FOR OUR LADIES both big and small, we provide stylist on Pageant Day to do your hair for FREE! Will you be visiting our beauty boutique?
NO Thank you.
If your participant could be crowned ANYTHING for a day, what would it be? Lets see some creativity here!! (examples: King of Hearts, Queen of the House, Princess Blue Eyes, Prince Cuddle Bug, etc...) The answer you provide here is the title we will crown them with at the pageant!
How did you hear about EAPageant?
Participants receive a free shirt please provide their size:
INFANT SIZE 2T
INFANT SIZE 4T
INFANT SIZE 3T
YOUTH SMALL (4-6)
YOUTH MEDIUM (7-8)
YOUTH LARGE (10-12)
YOUTH EXTRA LARGE (14-16)
ADULT EXTRA LARGE
The Legal Stuff they require us to say:
below, you agree that you will not hold The Exceptional Abilities Pageant, any of its volunteers, liable for items lost, stolen, broken or misplaced. The Exceptional Abilities Pageant is not responsible for injuries or accidents of any kind.
Also, by clicking
below you agree that you will not hold Southside School District or any of its employees responsible for items, lost, stolen, broken or misplaced. The Southside School District is not responsible for injuries or accidents of any kind.
Thank you for participating, you should expect to receive all the information you need for pageant day, about mid August! We cannot wait to see you on September 1st!
Contact Us by phone: