First Name Last Name If delegate is under the age of 18, enter Parent/Guardian Name: Address City State/Province Zip/Postal Code Phone Number Email Social Media Name Age Birthdate Enter any other Country/Provincal/Region/State titles you would like to be considered for: Please upload your headshot photo? How did you hear about the pageant? I agree to the Rules, Regulations and Code of Conduct to the Pageant I agree and understand that the inital payment of $200.00 is required for the crown and sash deposit. This deposit is your agreement to the payment in full of the entry fee. You also understand that if you/delegate choose(s) not to compete at the International pageant, you must notify the International office no later than 90 days prior to the International pageant. If you/delegate choose(s) not to compete at the International pageant, you will be charged a $200.00 "no show" fee and agree to return the crown and sash in new condition. There are no exceptions to this rule. By signing below, I understand and agree to all of the Rules, Regulations and Code of Conduct to the pageant. I also understand I am responsible for all of the fees mentioned above. Clear SUBMIT
