Miss Virginia American Teen 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 NameLast Name

Date Of Birth*

Date

Phone Number*

Please enter a valid phone number.

Email Address*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

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

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

Please list your top three (3) local title choices: Local sashes are available at an additional cost if you would like to represent your title on the local level. Please let us know and we can arrange to get you a local sash.

Title Choice 1*

Title Choice 2*

Title Choice 3*

Attach a Clear Photo of Contestant*

Contestant T-Shirt Size*

My Products*

Sponsorship Fee $ 50.00 (Contestants who enter early will receive a $25.00 Early Bird discount. EARLY BIRD Sponsorship Fee (must register by September 1, 2022) $ 25.00 This will be taken off on your full State Delegate Package.

$50.00

State Delegate Package - Paid in Full $ 195.00

$195.00

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

$245.00

State Delegate Package - 1st Installment $ 97.50

$97.50

State Delegate Package - 2nd Installment $ 97.50

$97.50

Total

$0.00

Signature*

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.