Mrs./Ms./Teen/Jr. Teen/Little/Elite Earth USA Application
Please Fill Out the Form Below to Submit Your Application!
Name
*
First Name
Last Name
Parent Name (if minor)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Date of Birth
Division (Please Note: Elite Division is 40+ however you can opt for Ms. or Mrs. if title is available. There will be no Dual competition this year for 40+. Changes will not be made once application is in. Please apply correctly.
Please Select
Little
Jr. Teen
Teen
Ms. (21+ unmarried, never married, divorced)
Mrs. (21+ married, separated, etc.)
Elite Ms (40+ unmarried, never married, divorced)
Elite Mrs (40+married, separated, etc.)
What three words describe you?
If you were an Earth super hero and had a super power that would help the Earth, its inhabitants, etc, what super power would you have and why?
What is an environmental, health, wellness or humanity issue you feel is misunderstood for lack of people taking initiate to learn?
Do you feel your strength or passion is to HEAL the Earth or to PROTECT the Earth? Why?
List your two preferred State titles you are applying for. Please list your first choice first.
Do you commit to competing at National pageant?
Yes
No
Application fee is $75. You understand it is non-refundable?
Yes
No
Registration fee includes Sash, Crown, One page ad, Swag Bag, T-Shirt, swim/aerobic wear. Lodging, Airfare and other expenses are not included. Registration fee is non-refundable. Please check your division. Invoice will be emailed to you unless you elect to pay online.
$500 Little
$800 Jr. Teen
$1000 Teen
$1300 Mrs./Ms./Elite Division
Fees: Select applicable selections only if you are paying now, otherwise you will receive an Invoice along with your Title Offer. Please keep in mind your title is not reserved until application and registration fees are paid and titles are FCFS.Thanks.
prev
next
( X )
$75 Application Fee (Non-refundable)
Application Fee
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
$500 REGISTRATION FEE (Little Division)
Non-Refundable
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
$800 REGISTRATION FEE (Jr. Teen Division)
Non-refundable
$
800.00
Quantity
1
2
3
4
5
6
7
8
9
10
$1000 REGISTRATION FEE (Teen Division)
Non-refundable
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
$1300 REGISTRATION FEE (Mrs./Ms/Elite Division)
Non-refundable
$
1,300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Please upload headshot. Can be changed at a later time.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature
Apply
Apply
Should be Empty: