2024 Miss Alaska Local Titleholder Registration Form

Official 2023/2024 At Large Title Application

All required documents and files MUST be uploaded before the application will be accepted and considered complete. You can click SAVE at the bottom of the form to receive a link to complete the form later. If you are having any troubles, please email miss.alaska.america@gmail.com
PERSONAL INFORMATION
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth

MonthDayYear
Date
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SCHOOL INFORMATION
School Currently Attending/Most Recent School
Grade/Class
College Major/Intended Major
Anticipated Graduation Date
TALENT

Describe your talent or HerStory (Personal Monologue). Talent Performance must NOT be more than 90 seconds and must be approved by the Executive Director and Producers of our show. All props require pre-approval and are the responsibility of the contestant.
MAO STATE/LOCAL CONTESTANT CONTRACT
Check Off These Boxes and Upload the Documents Below

Copy of Drivers LicenseCopy of Birth CertificateProof of EligibilityHeadshot or Selfie (if no headshot yet)Passport (Miss Contestants Eligible for Japan Trip)
Upload your documents and images here:

Cancelof
Please list all titles numbered in order, that you would like represent. Titles are first come first serve.
Obligation and "What to Expect"

The Miss Alaska Scholarship Foundation is a nonprofit organization that is a feeder program for the Miss America Opportunity. Each year local At-Large titles will be awarded throughout the year leading up to the Miss Alaska State Competition. This year's 2024 competition will be held June 4th-6th, 2024. You must be available during this week. Accepting a local title in the Miss Alaska Scholarship organization means you agree to represent our program with the upmost respect, etiquette, and class. You will have opportunities to make appearances throughout the year representing your title. Please always wear your crown and sash and notify the appearance coordinator or the Executive Director of your appearance. Some appearances will be set up and others you can create on your own. We encourage each title holder to get out in the community and create opportunities to serve and represent our organization! Certain appearance will require a chaperone or buddy is present to assure your safety. We will work with you to ensure you have someone with you at all times. Your initial entry fee will be $250 to cover your crown/sash and title. There will also be a State entry fee of $500 due by May 1st. You will be given the opportunity to fundraise to cover this expense. By signing below, I am agreeing to these terms and understand my obligation to the Miss Alaska Scholarship Foundation.
MEDIA AND PHOTO RELEASE

I give permission to be photographed and/or videotaped by MASF in conjunction with all activities associated with the Miss Alaska Competition. These photos may be used on the MASF website, social media accounts, newspapers, and/or other official printed materials.
In applying for the Miss Alaska At Large Titles, I do comply with these rules

I am a female; a US citizen between the ages 13-28; not married and not pregnant, not a parent or cusodial parent; never convicted of any crime; I do not use, consume or distribute any illegal or controlled substances; I have lived (or) worked full-time in Alaska 30 days prior to the competition, (or) am a full-time student at a school in Alaska. If accepted, I will enter into a contract with the competition and fufill my duties as a contestant.

I understand I will be responsible for the following fees and there will be no refunds

$35 MAO Registration Fee- MAO Registration-Alaska

$250 At Large Title Fee (see payment info below)

$500 MASF State Comptition Fee due by May 1st, 2024, unless ad sales has covered fee.

I understand Miss Alaska Week is June 4th-6th, 2024 and Participation is Mandatory.

My title will expire at midnight on June 6th, 2024
Signature

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Date

MonthDayYear
Date

My Products

At Large Entry FeeInitial entry fee to pay for Crown/Sash/Title

$250.00 Quantity

Total

$0.00

Credit Card

Should be Empty:

Official 2023/2024 At Large Title Application

PERSONAL INFORMATION

SCHOOL INFORMATION

TALENT

MAO STATE/LOCAL CONTESTANT CONTRACT

Obligation and "What to Expect"

Credit Card