Lone Star Registration Form

Lone Star Registration Form

Please fill in the form below.
What the is name of the person who paid the registration fee? (This enables us to match up the payment receipt with this registration form.)*
This form is our Get to Know You information form and is to be submitted AFTER you have paid the registration fee.

Thank you!
Name of Star (for first name please put name YOU WANT US TO USE)*

First NameLast Name
Phonetic pronunciation (IF NEEDED)

First NameLast Name
Age*
Birthdate

MonthDayYear
Date
I have been recruited by a Miss or Teen titleholderI was recruited by a local directorI want to join and need to be assigned a Miss or Teen titleholder
If you have been recruited by a titleholder, please list the specific titleholder below.
If you have been recruited by a titleholder what is her name?*
Do you know her title or what local organization she represents?
Youth Small 4-6Youth Medium 8-10Youth Large 12-14iYouth X-Large 16-18Adult X-SmallAdult SmallAdult MediumAdult LargeAdult X-Large
E-mail*
Phone Number *

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mom/Guardian's name
Upload photo for website here - this can just be a head and shoulder photo taken by a phone

Browse Files

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For crown and sash to be shipped please pay shipping fee at

THIS LINK
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