2023 District of Columbia Delegate Application Form

I, the undersigned, understand the following:

FEES & RULES

I understand all contestants must pay a $50 Sponsorship Fee and there is a REQUIRED State Delegate Package requirement of $195 which has been shared with me.
I understand all contestants are REQUIRED to participate in Crown CARES activities.
I understand if awarded a title I am responsible for attending the 2023 Miss American Teenager pageant in Washington, DC July 3-7, 2023.
This certifies that I have read and understood the rules and that my entry abides by all of them.
I understand that by submitting this entry, my photo/likeness may appear online, in printed media and other paraphernalia published by the organization in promoting the pageant if accepted into the competition.

Contestant Name: *

First Name Last Name

Birth Date *

Month Day Year

Phone Number: *

Area Code Phone Number

E-mail Address: *

The one checked the most.

Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Select your age division (Age as of September 1st of contest year) *

Miss American Preteenager (10-12) Miss American Junior Teenager (13-15) Miss American Teenager (16-19)

Title Choice 1:

Title Choice 2:

Title Choice 3:

Attach a clear photo of Contestant: *

This photo does not have to be the one used for the program book.

Contestant T-Shirt Size *

My Products *

EARLY BIRD Sponsorship Fee (must register by September 1, 2022) $ 25.00

Sponsorship Fee $ 50.00

State Delegate Package - Paid in Full $ 195.00

Sponsorship Fee & State Delegate Package - Paid in Full $ 245.00

State Delegate Package - 1st Installment $ 97.50

State Delegate Package - 2nd Installment $ 97.50

Official Title Sash (Optional but a great way to promote yourself in the community) $ 35.00

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Referred By:

If not a person we can thank, how did you hear about Miss American Teenager?

By submitting this registration 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 Miss American Teenager Pageants. Furthermore, I understand that ALL FEES are non-refundable and non-transferable. Signature below is required for your application to be complete. If your Sponsorship Fee does not accompany this form, your application will not be reviewed by the pageant office. *

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