2024 National Imperial Miss | State Application
Delegate's Name
*
Age
*
AS OF JUNE 1, 2023
Division
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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
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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?
Yes
No
Please upload a professional headshot
*
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You will have the opportunity to submit another photo for the program book.
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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 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 that all fees are non-refundable and non-transferrable.
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