Fleur de Lis - Teen and Miss

2026 Fleur de Lis Registration Packet

Please READ all information on the Fleur de Lis Information Page on the Miss Louisiana Website before completing this form.

Payment for FDL is NON-REFUNDABLE.

If you have any questions, please email: misslafdl@gmail.com.
Fleur de Lis Name (as you want it to appear in the Program Book & as you would like to be announced on stage.)*

First NameLast Name
FDL's Date of Birth*

MonthDayYear
Date
FDL's Age on December 31, 2025*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number*

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physician's Name*

First NameLast Name
Physician's Phone*
Please enter a valid phone number.
Medication & Reason Needed*
Please List All or type "None"
Allergies*
Please List and Explain or type "None"
FDL T-Shirt Size*

Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult Large
Upload Black & White Headshot - NO CROWNS*

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Teen Contestant Requested - 1st Choice
Teen Contestant Requested - 2nd Choice
Miss Contestant Requested - 1st Choice
Miss Contestant Requested - 2nd Choice
Photos and videos may be taken during Miss Louisiana and Miss Louisiana's Teen events. Participation implies consent for the use of images for promotional purposes.*

I Agree that I have read the photo/video consent.
Select Teen, Miss or Both Payment is NON-REFUNDABLE*
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Teen FDL
$400.00 Quantity



Miss FDL
$500.00 Quantity



Both - Teen AND Miss FDL
$600.00 Quantity



Total

$0.00
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