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Little,
Pre-Teen, Miss Teen, Ms/Woman, Elegance, Senior
World US
Pageant
official
2009 application
NAME:__________________________________________AGE______BIRTHDATE____________
ADDRESS________________________________________________________________________
CITY________________________________________STATE______________________
ZIP
CODE____________________
PHONE_______________________________________________CELL_______________________
EMAIL______________________________________________________
SCHOOL__________________________________________GRADE IN
SCHOOL_____________
HEIGHT:______________DRESS
SIZE:_____________HAIR:_______________EYES:_________
ACTIVITIES/ORGANIZATIONS:_________________________________________________________________
_________________________________________________________________________________
AWARDS/HONORS:_________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
AMBITION/GOALS___________________________________________________________________________
_________________________________________________________________________________
BROTHER’S/SISTER’S
NAME:___________________________________________________________________________
MOTHER’S
NAME:___________________________________________OCCUPATION___________________
FATHER’S
NAME:___________________________________________OCCUPATION___________________
TO SECURE YOUR
STATE/CITY TITLE, RETURN APPLICATION/RULES AND REGULATION FORM AND
YOUR DEPOSIT OF $75.00, ALONG WITH TWO PHOTO’S WITHIN 7 DAYS TO:
MISS TEEN
WORLD-US
3342 S.
SANDHILL SUITE 9-336
LAS VEGAS, NV
89121
MAKE ALL
CHECKS PAYABLE TO: MISS TEEN WORLD-US
Entrant/Parents agrees to release, hold harmless, and waive any and
all claims against the Miss Teen World– US and Miss Teen World
Organizations, pageant owners, hotel/venue property, agents,
volunteers, staffs for property damage, injury, losses arising from
or occurring during any pageant related events including the world
finals. I am aware that my deposit of $75.00 is non-refundable if I
decide to withdraw from the pageant. If you are not accepted, then
your $75.00 deposit will be refunded.
______________________________________ ____________________
Signature of
Contestant Date
______________________________________ ____________________
Signature of
Parent/Legal Guardian Date
_____________________________________ ____________________
Witness
Signature Date
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