UM Reg Form

Missouri * Kansas * Nebraska * Iowa

Universal Miss Central States Regional (Season 6)

November 7-8th, 2025

B&B Live Theater -Kansas

16301 Midland Dr, Shawnee, KS 66217

Regional Contestant Information Packet - Click Here

Contestant Name:

First NameLast Name

Birth Date

MonthDayYear

Select age division (age as of January 1, 2026)

Which state title are you competing for?

T-Shirt Size

Chaperone Name:

First NameLast Name

Phone Number:

Area CodePhone Number

E-mail Address:

The one checked the most.

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Referral Code (if applicable) :

will be applied AFTER your registration fee is received.

By submitting this registration form, I am acknowledging that I am 18 years or older, and that I have read, understand and agree to the rules and regulations as set forth by Universal Pageant System LLC, Universal Miss. Furthermore, I understand that ALL FEES are non-refundable and non-transferable. Signature and registration fee is required for your registration to be complete. I understand that I or legal guardian/parent of said contestant will be required to sign a COVID-19 Assumption of Risk, Release, and Waiver of Liability Agreement in order to attend the competition. If the competition is forced to cancel we will work diligently to reschedule the event. However, we cannot guarantee an alternative date will be available.

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Registration Fee$100.00

Required by all who will be competing for their state title/awards package. Includes at 4% card payment convenience fee. This fee is required by all and does NOT get deducted from the mandatory pageant fee. Any discounts given will come after your registration fee is received.

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Subtotal $0.00Tax $0.00Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Payment Methods

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