Scholarship Program

Miss Jr. Teen and Miss Teen ALF™ Scholarship Program

Contestant's Name(Required)

First Last

Parent #1 Name(Required)

First Last

Parent #2 Name(Required)

First Last

Other Guardian Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

School(Required)

Grade in School (at 9/28/2024)(Required)

Age (at 9/28/2024)

Jr. or Teen?(Required)

Biography Information

The information entered below will be used to create your biography given to the local newspapers to help advertise the scholarship program. Please complete in full sentences.

School & extra-curricular activities(Required)

Special interests & hobbies(Required)

Talent Presentation(Required)

Dance

Vocal

Musical Instrument

Other

Specifics on your Talent Presentation (type of music;title of song selection) YOU MUST LIST SPECIFIC SONG(Required)

Your act must be no less than 2 minutes but no more than 2 minutes and 30 seconds long in its entirety.

Parent Meeting

There will be a MANDATORY parent meeting on a date and time and at a location to be announced. Information about scheduling, rules, etc. will be gone over at that time and it's important that a parent of EVERY contestant attend.

Check this box if you are interested in serving on the committee for this event.

I am interested in serving on this committee.

By clicking here I acknowledge that I have read and understood the Scholarship Program Rules and Regulations set by the Autumn Leaf Festival(tm) Committee and agree to abide by these rules and regulations.

Yes, I agree.

Due to the increasing costs of processing Credit Card and PayPal payments, a 3% processing fee will be added to the total cost when processing Credit Card and PayPal payments.

Payment type

Credit Card

Check

PayPal

Product Name

Processing Fee

Price:

Total

Payment Method

American Express

Discover

MasterCard