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MSOA PAGEANT COACH FORM
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MSOA PAGEANT COACH FORM
Please enable JavaScript in your browser to complete this form.
Name
*
First
Middle
Last
D.O.B( applicant should be 18+)
*
Sex
*
male
female
Contact Details
Email address
*
Home Telephone
*
Mobile Number
*
Other Contact Person
*
Relationship
*
Contact
*
Permanent Address
Nationality
*
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Congo-Brazzaville
Congo-Kinshasa
Cote d'Ivoire
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea Bissau
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
South Sudan
Sudan
Swaziland
São Tomé and Príncipe
Tanzania
Togo
Tunisia
Uganda
Western Sahara
Zambia
Zimbabwe
Country
*
Region
*
PHYSICAL ADDRESS(describe your area of residence from the main shopping centre/CBD)
*
Occupation
*
EDUCATION QUALIFICATIONS
(Note you must give complete details begin with 1: School 2: Graduation 3: Post Graduation)
School 1
*
First
Middle
Last
School 2
First
Middle
Last
School 3
First
Middle
Last
School 4
First
Middle
Last
School 5
First
Middle
Last
HOW WOULD YOU DESCRIBE YOURSELF? (You may enter upto 300 characters)
*
WHAT INSPIRES YOUR PAGEANT COACH TRAINING CRETERIA (you may enter up to 200 characters?)
*
ANY HEALTH PROBLEM?
*
Yes
No
If Yes, please describe
SOCIAL MEDIA PAGES
Facebook
*
Twitter
*
Instagram
*
WHY DO YOU WANT TO BE A PAGEANT COACH IN MR& MISS SECOND OPTION AFRICA PAGEANT IN THE CONTINENTAL LEVEL
*
HAVE YOU COACHED BEFOREAT A NATIONAL OR CONTINENTAL PAGEANT?(IF YES, PLEASE GIVE DETAILS)
*
MENTION ANY REFEREES / ORGANIZATIONS THAT YOU HAVE WORKED WITH BEFORE AND THEIR CONTACTS
*
You give the organization the right to use your pictures, images and videos for the event on social media
*
Yes
No
Model's Signature (Type your first name)
*
Date
*
Rules & Regulations
Terms and conditions. The applicant must agree to abide by all rules, as changed from time to time by the organization The applicant should be between 18 years and above, in the year of entry. The applicant will be required to produce their period of age (passport/birth certificate/ ID / school certificate etc) The female applicant should not be expectant during the day of the boot camp and main event The applicant should be a natural born female or male The applicant should be a citizen of a country in Africa and should be a resident of that country and lived there for at least 3 years as at the time of event. The applicant or the applicant’s immediate family should not be related to any person employed by the organisation or be in contact with other judges as informed to the applicant at any stage. In case of such relation, the applicant must disclose the same immediately or risk disqualification The applicant once shortlisted cannot be part of any other pageant during the period of this pageant. The organization committee and organizers are not responsible for any of the judges personal effects and in the case of any miss-conduct have the mandate to decide on the judges’ fate The applicant should not have been a judge at the pageant previously in the year preceding this pageant The national expenses (stay/boot camp) will be borne by the organizing committee The applicant will have to participate and behave in a disciplined and diligent manner throughout as per schedule given The organizers are not responsible if the sponsors do not make good the prizes promised by them The organizers are not responsible for any loss, physical injuries and illnesses that occur to the applicant during their participation in the event. The applicant will participate at his/her own risk and have no claim against Mr & Miss Second Option Africa or Second Option Agency in that regard Incorrect information will result in disqualification, whether discovered prior to, during or after participation The decision of the judges, organizing committee and organizers is final in all cases Persons of good health, sound mind and having no medical history of any mental illness and having a good moral character can participate herein. The applicant should not have any cases (criminal or civil) registered against him/her at the time of application and during the pageant. Only the applicant will be allowed inside the designated venue of the preliminaries and trainings The schedule of the events and qualifications rounds is subject to change at the discretion of the organizers and organizing committee In the event of any dispute, the organizing committee and organizers decisions are final and binding on the applicant The organizing committee has the jurisdiction over all disputes The organizing committee has the jurisdiction over all disputes Mr. & Miss Second Option Africa accepts and encourages the married, unmarried, widowed, mothers, fathers to take part and apply to be the pageant . For further information/ clarification, contact The Pageant Coordinator Miss Azangalala Christabel on +254 701775927
I have read and understood the Terms & Conditions
*
Yes
SUBMIT & PROCEED TO PAYMENT
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