PLEASE NOTE:  You need to sign up in order to compete in the pageant. Once you fill out the online form, you will receive a Registration packed. There is detailed information on what you need to do contained in the packet. Our first deadline to enter into the 2009 Michigan Galaxy Pageants is November 15, 2008 for entry into the April 2009 pageant.  If you have filled out an e-mail form or filled in the form below previously, you will receive a post card in the mail reminding you of the deadline one one prior to the first deadline. You will not receive any other reminders from the state office other than that. Additionally, there may be slight changes to our format, rules, regs, policies, etc.  Those who enter before details are posted for 2009 must agree in advance to abide by any and all changes made.

Name:

Address:

City:               Zip Code:

Email Address:

Date of Birth:

County of Residence:

Telephone Number:

If Mrs.: Date of Marriage:

If Mrs. Or Ms.: Children

Name:                Age:

Name:                Age:

Name:                Age:

If under the age of 18, please supply the following information:

Parent's Name:     

Telephone Number:

I hereby apply to the: