A.E.M Regional/State Pageant Registration 2022-2023
Must have resided or worked in selected state for a minimum of 6 months.
Parent/Legal Guardian Name (If younger than 18 years old)
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Name of Contestant
*
First Name
Last Name
Contestant Date of Birth
*
-
Month
-
Day
Year
Date
Division based on Age as of Jan 1, 2023
*
Princess (5-6)
Jr Preteen (7-9)
Preteen (10-12)
Jr Teen (13-15)
Teen (16-19)
Miss (20-29 (unmarried)
Ms (30+) (married & unmarried)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What State/U.S. Territory are you representing at the regional pageant?
*
Alabama
Arkansas
Connecticut
Delaware
Florida
Georgia
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Nebraska
New Jersey
New York
North Carolina
Ohio
Oklahoma
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Virginia
Washington DC
West Virginia
Which Prelim Pageant do you plan to compete at?
*
Aug 27th, 2022-Mid South Prelim-Arkansas (Open to AR, LA, OK, TX, MO, and KS)
Oct 15th, 2022- South East Prelim-Gallatin, TN (Open to TN, KY, AL, GA, VA, NC, SC, FL)
Mandatory Areas of Competition
Gown, Fun Fashion, Private Introduction & Interview, and Community Service Donation.
Title At Large
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State/Regional Pageant Registration
$
295.00
Fees include all required events and welcome party. State winners will earn crown & sash and automatic acceptance to the national pageant held in Nashville, TN in May 2023.
Payment Plan
Pay In Full
Registration Deposit
Registration Payment 1
Registration Payment 2 (due 14 days prior to pageant)
Optional Competition Registration
$
50.00
Optionals are not required and do not count toward the awarding of state/regional titles. Optional winners will earn account credits toward national optional fees.
Quantity
Price
Photogenic
0
1
$
50.00
Print Model
0
1
$
50.00
Portfolio
0
1
$
50.00
Casual Wear - On Stage
0
1
$
50.00
Patriotic Wear - On Stage
0
1
$
50.00
Runway - On Stage
0
1
$
50.00
Spokesmodel - On Stage
0
1
$
50.00
Item subtotal:
$
0.00
Side Awards
$
15.00
Side awards are not required and do not count towards the awarding of the state/regional titles.
Quantity
Price
Best Dressed
0
1
$
15.00
Best Gown
0
1
$
15.00
Best Hair
0
1
$
15.00
Best Personality
0
1
$
15.00
Best Smile
0
1
$
15.00
Most Photogenic
0
1
$
15.00
Item subtotal:
$
0.00
Enter coupon
Apply
Total
$
0.00
Who Referred You?
Referral Name of Delegate
I understand all deposits and fees are non-refundable.
*
Initial
Submit
Should be Empty: