Little Miss & Mister Firecracker Pageant Registration Forms

Child's Name (required):

Birth Date (required): Age:

Childs Gender?

Resides in the Mt. Morris Fire Protection District?

Parents (required):

Street Address (required):

City / State / Zip (required):

Phone Number (required):

Siblings (list names and ages; required):

Child's Interests
This information will be used for the stage interviews during the pageant judging. Please note anything your child is excited about, examples: recent vacation, new toys, new sibling, pets, etc. (required):

Child's Performance
What will the child perform on stage? Note: Parents must supply any background music if needed and make note of it on this form in order to have the sound system set to play music that night. (required):

For security purposes, please enter the characters seen below:

Please submit completed form, then mail your $5 participation fee to: 

Let Freedom Ring Festival
P.O. Box 95
Mt. Morris, IL 61054