2024 National Imperial Miss | Appointed Title Entry

Delegate's Name*

Age*

AS OF JUNE 1, 2024

Division*

Jr. Princess ( Age 4-6)Princess (Age 7-9)Pre. Teen (Age 10-12)Jr. Teen (Age 13-15)Teen (Age 16-19)Miss (Age 20-29 *Never married and never given birth)Ms./Mrs. (Age 20+ *May have children and can be married, divorced, and/or widowed.)Legacy (Age 50+ *Regardless of marital status)

State*

WHAT STATE DO YOU LIVE IN?

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

STREET ADDRESS, CITY, STATE AND ZIP CODE

Referred by

Parent/ Guardian's Name (if delegate is under age 18)

Are you a returning queen from the NIM 2023 National Pageant?

YesNo

Please upload a professional headshot*

You will have the opportunity to submit another photo for the program book.

I understand and agree to the Official Rules and Regulations for the National Imperial Miss Pageant and National Imperial Miss, LLC.. Delegates and parents/guardians of minor delegates must read and adhere to the rules and regulations, to be eligible to complete, found on the National Imperial Miss website. I have read and agree to all the program rules found on the National Imperial Miss website. I have read and agree to the responsibilities and requirements that I will have as a state titleholder for National Imperial Miss, as the State Titleholder Agreement can be found on the National Imperial Miss website, including the requirement to compete at the national pageant. By submitting this application, I certify that I am a natural born female and will compete as such, that I am a legal resident and citizen of the United States of good moral character. I agree that National Imperial Miss has the right to refuse this application at its sole discretion and a refund of the entry fee will be provided if this application is refused. I also understand and agree that all fees are non-refundable and non-transferrable. *

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National Entry Fee*

National Appointed Title FeeChoose this option to secure an appointed title if there is not a state/ regional pageant in your area. Includes your state crown and sash, as well as entry into all required competitions at nationals. Includes state crown and sash and a $25 online processing fee.

$425.00

National Appointed Title Fee | State Delegate (State Participants Only)Delegates whom competed at state pageant and didn't win, this special is just for you! Includes your state crown and sash, as well as entry into all required competitions at nationals. State title will be appointed by the national office based on available state titles. Includes state crown and sash. and a $25 online processing fee.

$275.00

Returning Queens National FeeQueens that competed in our 2023 Nationals interested in returning to 2024 Nationals. Includes your state crown and sash, as well as entry into all required competitions at nationals. State title will be appointed by the national office based on available state titles.Includes state crown and sash Includes a $25 online processing fee.

$125.00

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Total

$0.00

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