Miss Midwest Regional 2025 Entry Form

Contestant Name

First NameLast Name

Parent's Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Contestant's Birth Date

Date

Age Division (Age on 10/11/25)

Signature

My Products

Optional Talent Competition

Talent must be stage appropriate and less than 90 Seconds in lenth.

$45.00 Quantity

Optional Photogenic - (3) Photos

You will bring 8x10 Photos with you submit at Check-In. You may bring up to 3 photos to submit to the Photogenic Competition.

$45.00

Optional Fitness Competition

On Stage During Pageant. Contestant may compete in traditional Fitness Wear/Yoga Outfit. Same Pattern as Fun Fashion.

$45.00

Casual Wear

Please choose your best Casual Wear Outfit to showcase your style on Stage!

$45.00

Spokesmodel/Introduction

You may choose to either perform your Spokesmodel or Introduction for the Pageant. Please limit to 30-45 Seconds. If choosing Spokesmodel, the topic will be "How you are an Inspiration to others."

$45.00

Halloween Costume Wear

Dress to impress with your favorite Halloween Costume!

$45.00

3 Optionals Package

Please Choose 3 Optionals you would like to Compete in for a discounted rate!!

$100.00 1 2 3

Pageant Competition Entry Fee (Mandatory)

$275.00

Enter coupon

Total

Miss Midwest Regional Pageant

My Products