Participant Database

Primary Contact Information
Primary Contact

First NameLast Name
Relationship to Participant
Primary Contact Email
Please check for accuracy, as email is our primary method of communication.
Primary Contact Phone Number
Format: (000) 000-0000.
Primary Contact Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Participant Information
Choose Your Chapter
Event Year
Participant's Name

First NameLast Name
Parent or Guardian 1

First NameLast Name
Parent or Guardian 2

First NameLast Name
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Photo of the Participant

Max file size: 10 MB. Your photo may be included in your local chapter's program book. Please upload a quality, high-resolution image.
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Is this the participant's first time in a Miss Amazing program?
Proof of Disability

Any girl or woman who meets the definition of disability under the government laws and acts defining a disability (Disability Discrimination Act 1995: “A person has a disability for the purposes of this Act if he has a physical or mental impairment which has a substantial and long-term adverse effect on his ability to carry out normal day-to-day activities.”) is eligible to participate in Miss Amazing programs. We ask all applicants to submit one of the following documents as proof of qualification: Front page of IEP, 504 plan, SSI, or physician's documentation of disability.
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T-Shirt Size
How did you hear about us?

Other

Strengths & Interests
What do you like most about yourself?

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What are some things that you do really well?

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What brings you joy?

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What are your favorite hobbies and pastimes?

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What goals do you want to accomplish in the next three years (at school/work, in the community, in your personal life, etc.)?

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What long-term goals do you want to accomplish in your lifetime (your career, living situation, family life, etc.)?

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ADVOCATE Program Opt-Out
By participating in Miss Amazing AMPLIFY, the participant could be chosen as the representative from her division to participate in the Miss Amazing ADVOCATE program for one year and to attend the National Miss Amazing Summit in Rosemont, Illinois July 24-26, 2026.

If the participant would like to be removed from consideration for this position, please select the option below. If the participant removes herself from consideration, she will still receive awards for her participation in the AMPLIFY program.

Learn more about the ADVOCATE program and the National Miss Amazing Summit HERE.
Do you want to REMOVE the participant from consideration?

Code of Conduct & Photo Release
Code of Conduct

By clicking submit, you affirm that the participant represented in this application agrees to follow Miss Amazing's Participant Code of Conduct and that all parents and allies of the participant agree to follow Miss Amazing's Parent/Ally Code of Conduct.
Photo Release

I grant Miss Amazing Inc., its representatives and volunteers the right to photograph the participant represented in this application at any Miss Amazing events over the next year. I authorize Miss Amazing Inc., its assignees and transferees to copyright, use, and publish the same in print and/or electronically. I agree that Miss Amazing Inc. and sponsors may use such photographs of the participant with or without her name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
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Primary Contact Information