Queen Candidate Online Application Queen Candidate Application Thank you for your interest in becoming a Water Carnival Queen Candidate! Please complete this form to officially apply. Step 1 of 3 33% Candidate InformationCandidate Full Legal Name(Required) First Middle Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Primary Phone Number(Required)Date of Birth(Required) MM slash DD slash YYYY Candidate's Email Address(Required) Parent/Guardian InformationParent/Guardian Name(s)(Required)Parent/Guardian Address(Required) Street Address City State / Province / Region Parent/Guardian Phone(Required)Parent/Guardian Email(Required) Candidate QuestionnaireHigh School(Required)Graduation Year(Required)202020212022202320242025OtherCollegeYear(s) Attended or CompletedDo you plan to further your education and/or career?(Required) Yes No Undecided Are you currently Engaged to be Married?(Required) Yes No If yes, when do you plan to be married? MM slash DD slash YYYY What is your favorite Water Carnival memory?(Required)What are you most excited for in becoming a Miss Hutchinson Candidate?(Required)Please upload a current photo of yourself(Required)Accepted file types: jpg, jpeg, png, gif.Candidate Consent(Required) I hereby acknowledge my intention to be a candidate in the Hutchinson Jaycee Water Carnival Miss Hutchinson Royalty Program. I agree that, if selected as one of the eight candidates for the Miss Hutchinson Royalty Program, I will abide by the rules and regulations as established and outlined in the Miss Hutchinson Candidate Information Packet.Candidate Signature(Required)If Under 18 Parent/Guardian agrees with the above Candidate Consent statement.Parent/Guardian SignatureCAPTCHA Waiver AgreementLiability Waiver(Required) I, the undersigned, have agreed for my own benefit to participate in the various events and activities held during the year 2025, in connection with and/or under the direction of the Hutchinson Jaycee Water Carnival Committee. I understand that inherent in my participation in such events and activities, is the risk of serious personal injury and property damage. I understand that the Hutchinson Jaycee Water Carnival Committee will not provide me with protection against such injury and damage and I assume all risk of such injury and damage to myself and all others under my direction and control. I hereby waive and release any claim I have or may have in the future against the Hutchinson Jaycee Water Carnival, Hutchinson Jaycees and any of their officers, directors, employees, agents and volunteers, for any personal injury, property damage or negligence of such officers, directors, employees, agents and volunteers which occurs during or as a result of my participation in any of the events and activities held in connection and/or under the direction of the Hutchinson Jaycee Water Carnival Committee during the Water Carnival and related activities.Candidate Signature(Required)If under 18 Parent/Guardian agrees to the above terms detailed in the liability waiver.Parent/Guardian Signature Media ReleaseMedia Release Agreement(Required) I grant permission to the Hutchinson Jaycee Water Carnival and its subordinates to use my name, photographs, and videos for use in Water Carnival publications and promotional material such as brochures, newsletters, magazines and to use my name and/or photographs on display boards, electronic version of the same publications, or videos on the Hutchinson Jaycee Water Carnival website or other electronic forms or social media. I hereby waive any right to inspect or approve the finished photographs, videos, or printed electronic or digital matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of photographs, videos, or printed electronic digital matter. I hereby agree to release, defend, and hold harmless the Hutchinson Jaycee Water Carnival and its subordinates, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages, or liability arising from or related to the use of the photographs or videos, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise that may occur or be produced in taking, processing, reduction or production of the finished product, it’s publication or distribution.Media Release Acknowledgement(Required) I have read this release before signing below and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those in writing prior to signing and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.Candidate Name(Required) First Last Candidate Signature(Required)If under 18 Parent/Guardian agrees to the above terms detailed in the Media Release Agreement and Media Release Acknowledgement.Parent/Guardian SignatureEmailThis field is for validation purposes and should be left unchanged. Δ