Great Lakes American Miss Appointed Title Application

Great Lakes American Miss Appointed Title Application

Please complete this form and submit with your non-refundable application fee of $125 via CashApp or Paypal.
Registration Form

Fill out the form carefully for registration
Contestant Name *

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation or Grade Level*
example@example.com
E-mail*
example@example.com
Phone Number*
Hobbies and Activities:*
Previous Titles Held:
Accomplishments and/or Professional Licenses
Community Service/Organization Memberships:
Photo:*

Cancelof
By Submitting this application, you understand and agree that as an appointed titleholder of Great Lakes American Miss, you are bound to attend and compete in the Regional Title Pageant to be held in late 2026. (You will be notified of date and location as soon as negotiations have completed). Your $125 application fee is non-refundable. If chosen to represent GLAM, you will receive a Great Lakes AMerican Miss Title Certificate, Sash and Crown as well as 50% off the entry fee for the Regional Pageant. Please type your name in the space below if you agree. *
Method of Payment:

Paypal @glamericanmiss@gmail.comCash App $KimberlyFrench1021
Should be Empty:

Registration Form