top of page

Contestants Poral

Junior Royalty Schedule

Teen & Queen Schedule

WEST VIRGINIA THREE RIVERS PAGEANT
MEDICAL CERTIFICATE & RELEASE FORM

I hereby attest to the fact that I am presently in good physical condition and have no known health restrictions, which would limit my active participation in the pageant.

 

Medical Information: List any ongoing medical conditions for which you are currently being treated or taking medication:

Do you have any of the following conditions: (check only if applicable)

Thanks!

bottom of page