Mississippi's Our Little Miss State Deposit Form

Contestant Name*

First NameLast Name

Date *

Date

Age as of 4/01/2026

E-mail*

example@example.com

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gender*

FemaleMale

Please upload your photo*

State Deposit: Please check your emails within 24 hours for your contestant paperwork and link to pay remainder of balance. Please note half of your remaining balance must be paid by April 01, 2026. The remainder can be paid in cash at registration on 4/17/2026. Prelim Contestants, Contestant at Large and Honor Roll will be receiving FREE headshots/FREE stage shots by Lance Bowe Photography.*

State Deposit Nonrefundable-Prelim Contestant

State Pageant $475.00/$100.00 Prelim Credit/Total $375.00

$50.00 Quantity

State Deposit Nonrefundable-Contestant at Large (Means you did not enter a prelim)

State Pageant $475.00/$0.00 Credit/Total $475.00

$50.00 Quantity

State Deposit Nonfundable-Honor Roll (You have competed at state within the last three years)

State Pageant $325.00/$0.00 Credit/Total $325.00

$50.00 Quantity

State Deposit Nonfundable-Winners Circle-(You must have your world deposit paid and are using this strickly for practice and world advice)

State Pageant $125.00, but must purchase photograhy seperate for $35.00.

$50.00 Quantity

Total

$0.00

Credit Card

Signature