2026 Teen Information Form

2026 Teen Contestant Information Form

Fill out the form carefully for registration and our 2026 Information packet will emailed to you. Join us May 28th, 29th & 30th, 2026 at the Provo Covey Center for the Arts
Teen Name*

First NameMiddle NameLast Name
Your Local Title or Title you wish to carry (if at large)
Birth Date*

MonthDayYear
Will you be 14 by September 1st, 2026?*
Will you be 19 by September 30th, 2026?*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Instagram Handle(s)*
Candidate E-mail
example@example.com
Mobile Number
Grade*
Parents Names*

First NameLast Name
Main Parent Email*
example@example.com
Main Parent Phone Number*
Please enter a valid phone number.

To complete registration, a $100 deposit is due. This holds your spot in our 2026 program and includes your Official Miss Utah's Teen LOCAL Crown. YOU MAY ALSO VENMO THE DEPOSIT AND INCLUDE YOUR CONTESTANT NAME IN THE NOTES.

Miss Utah's Teen DEPOSIT

$100.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

2026 Teen Contestant Information Form