Application for State Title
Name
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First Name
Last Name
E-mail
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example@example.com
Phone Number
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-
Area Code
Phone Number
Address (NO PO BOX Addresses)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age Division
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Junior 9-13
Junior Miss 14-18
Miss 19-29 (single or married)
Elite 30+ (single or married)
Contestant's Date of Birth
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-
Month
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Day
Year
Date
Age as of 1/1/2025
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age you will be by January 1st 2023
How did you hear about MNUS?
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Facebook
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Google
Pageant Planet
Other
Upload headshot this will be featured on our website
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By electronically signing this registration form below, I am committing to enter the Miss National US pageant, I understand that if I do not follow through and participate in the virtual pageant for any reason after registering and paying any and all required and optional fees, I agree to forfeit all fees paid without exception. I also agree that the Miss National US pageant and its director and staff has permission to use my/my child's likeness, photographs and videos in connection with participation in the pageant for advertising, live streaming, social media and other promotional purposes. THE CONTESTANT NAMED ON THE ENTRY FORM(S) MUST RESIDE OR GO TO SCHOOL IN THE STATE WHERE SHE COMPETESSHE MUST BE A NATURAL BORN FEMALE, AND SHE MUST PARTICIPATE IN HER CORRECT AGE GROUP. NEITHER THE CONTESTANT, NOR ANY OF HER IMMEDIATE FAMILY MEMBERS, MAY BE EMPLOYED BY MISS NATIONAL US, NOR THE MISS NATIONAL US COMPANY THAT DIRECTS FOR WHICH THIS APPLICATION APPLIES. IN CONSIDERATION OF BEING ACCEPTED AS A CONTESTANT IN THE PAGEANT, WE THE PARENT MISS NATIONAL US, ITS STAFF, DIRECTORS, DIRECTOR’S COMPANY, SUBSIDIARIES, PARENT COMPANIES, ASSIGNS, EMPLOYEES AND SERVANTS FROM ANY AND ALL CLAIMS AND DAMAGES DIRECTLY OR INDIRECTLY RESULTING FROM NAMED CONTESTANT PARTICIPATING IN THE MISS NATIONAL US EVENTS. AND WE GIVE PERMISSION TO MISS NATIONAL US TO USE THE CONTESTANT’S PHOTOGRAPHS, SPEECHES, TESTIMONIALS, VIDEOS, ETC., FOR PUBLICITY PURPOSES AND FUTURE MATERIAL. IT IS AGREED AND UNDERSTOOD THAT ANY SCHOLARSHIPS OR COLLEGE ALLOWANCES, AS WELL AS SPONSORED PRIZES, WHICH ARE PART OF THE STATE AND NATIONAL PROGRAMS ARE PROVIDED BY THE NAMED SCHOOL, AGENCY, COLLEGE, OR SPONSOR AND THE AMOUNT OF SUCH SCHOLARSHIPS, COLLEGE ALLOWANCES, OR SPONSORED PRIZES ARE DETERMINED BY THE SCHOOL, AGENCY, COLLEGE, OR SPONSOR. MISS NATIONAL US, AND THE DIRECTOR’S COMPANY, SHALL HAVE NO LIABILITY IN REGARD TO SUCH GRANTS OR SCHOLARSHIPS. IT IS UNDERSTOOD THAT ALL FEES ARE NON-REFUNDABLE WITHOUT EXCEPTION. CONTESTANT COMPETING IN JR. TEEN AND TEEN DIVISONS HAVE NEVER BEEN MARRIED OR GIVEN BIRTH.CONTESTANT MAY ONLY PARTICIPATE IN ONE STATE MISS NATIONAL US PAGEANT WITHIN A CALENDAR YEAR. I have read all rules and regulations above, and by electronically signing this registration form, I acknowledge that I am aware of the rules and agree to adhere to them.
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