2023 USA National Miss Charlotte & Lexington Preliminary Registration form
Welcome to USA National Miss Charlotte & Lexington Pageant Registration. While our pageant competition is for ages 4-25, we require an adult (18 or older) complete this registration. If you are under 18, please ask your parent to complete your registration using their email address and phone number. Their signature is required.Thank you
Division (AGE AS OF JUNE 1, 2023)
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Jr. Princess (4-6 years)
Princess (7-9 years)
Preteen (10-12 years)
Jr. Teen (13-15 years)
Teen (16-19 years)
Miss (20-25 years)
Delegate
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Last Name
Birth Date
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Please select a month
January
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Month
Please select a day
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Please select a year
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Year
Age AS OF JUNE 1, 2023
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Facebook Handle (to be used in private group)
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Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which state are you from?
North Carolina
South Carolina
Drivers License
Browse Files
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Headshot
*
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Payment
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Registration fee
Evening Gown, Interview, Runway
$
100.00
T-shirt
$
25.00
T-shirt size
*
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2Xl
I agree:
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By submitting this registration: I confirm that the delegate is a natural born female, has never been married nor has ever had a child or been pregnant and that the delegate is a U.S. citizen. I understand that all monies paid to Cromer Crowns, LLC,/ USA National Miss South Carolina are non-refundable, and returned checks will incur a fee of $35. I understand that all state fees must be paid prior to the state pageant to secure participation. I agree that if I win the state title, I am committed to competing at the national competition and will assume all responsibility for payment of national program fees. Cromer Crowns, LLC/USA National Miss has the right to refuse entry at its discretion. Delegates and their parents/guardians hereby release and forever discharge Cromer Crowns, LLC, its directors, employees, volunteers and staff from any and all claims and demands arising from damages or liabilities due to theft, accident, loss or injury resulting from participation in the USA National Miss South Carolina Program. Delegates and their parents/guardians further covenant and agree not to sue the organization, its directors individually, its employees, volunteers or staff for any claim for damages or liability. I agree to abide by all of the rules and regulations set forth by Cromer Crowns, LLC and the USA National Miss Scholarship Organization.
Delegate, Parent, or guardian signature:
*
Submit Application
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