Contestant Name
*
E-mail Address:
*
The one checked the most.
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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Day
Please select a year
2026
2025
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1921
1920
Year
Chaperone Name (if applicable):
First Name
Last Name
What title have you been given by your state director? "Miss....."
*
State Representing
*
Name on the back of your sash-Check Spelling as this will be exactly what is ordered- LAST NAMES not permitted
*
Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select your age division (age as of January 1, 2026)
*
Universal Baby (0-2)
Universal Mini (3-6)
Universal Young Miss (7-9)
Universal Preteen (10-12)
Universal Teen (13-16)
Universal Junior Miss (17-20)
Universal Miss (21-29) -Married/Divorced/Has Children
Universal Elite Miss (30+)-Married/Divorced/Has Children
Select your Sash Size
*
Small approx. 45" (typically 0-3 yrs)
Medium approx. 53-55" (typically 3-6 yrs)
Med/Large approx. 59-60" (typically 7-9 Years)
Large approx. 67-68" (typically 10-12 Years)
X-Large 71-72" (typically 13+ years)
NOTE: Crown and Sash are from two different vendors, they will NOT be shipped together.
*
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( X )
Option 1: DID NOT HAVE A (Season 6) REGIONAL COMPETITION
$280.00
$
280.00
Inclusive of your crown, rhinestone sash with your name on the back.
Option 2: DID HAVE A (Season 6) REGIONAL COMPETITION, BUT DID NOT COMPETE
$280.00
$
280.00
Inclusive of your crown, and sash with your name on the back.
Option 3: DID HAVE A (Season 6) REGIONAL, AND DID COMPETE
$120.00
$
120.00
Inclusive of your crown and sash with your name on the back.
Option 4: VIP UM Contestant - Crown & Sash
$160.00
$
160.00
Inclusive of your crown and sash with your name on the back.
Option 5: VIP UM Contestant - Sash Only
$60.00
$
60.00
Inclusive of your sash with your name on the back
Enter coupon
Apply
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Shipping
$0.00
$
0.00
Total
$0.00
$
0.00
By submitting this form, I am acknowledging that I am 18 years or older, and that I have read, understand and agree to the rules and regulations as set forth by Universal Pageant System LLC, Universal Miss. Furthermore, I understand that ALL FEES are non-refundable and non-transferable. Signature below is required for your application to be complete. If your award's fee does not accompany this form, your awards will not be order and your title will not be valid.
*
Payment Methods
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Choose from one of the PayPal options to
make your payment.
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