Elite American Miss National Registration

Elite American Miss National Registration

July 31-August 2, 2026 | Old Rock School - Valdese, NC400 Main St W, Valdese, NC 28690
Upon submitting your registration, you acknowledge that you have fully read, understood, and agree to abide by the rules and regulations listed below. You also understand that all payments are non-refundable and non-transferable, and that submitting this form confirms your commitment to attend Nationals.
Delegate Name

First NameLast Name
Pronunciation of Name

First NameLast Name
Parent/Guardian Name (if this applies)

First NameLast Name
Division (Age as of August 1, 2026)
Delegate State/Region Title
Date of Birth

MonthDayYear
Date
Age (As of August 1, 2026)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please upload your official headshot here:

Cancelof
Promo Codes/Discounts

Interview Questionnaire

Please complete this form in order for the judges to get to know a little bit more about you.
Favorite Color
Favorite Holiday
Do you have pets?
Do you have siblings?
Favorite Book
What is your platform?
Why do you want to be a national titleholder for EAM?
Achievements/Awards
What was your most recent community service activity?
What was your favorite community service activity?
Who is your role model?

Emergency Contact Information

This form serves as the sole purpose in any event that there is an emergency and we need to contact someone immediately for you.
Emergency Contact Name

First NameLast Name
Relation
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please list any allergies (including food allergies) or medical conditions we need to be aware of.

Rehearsal Information

Please complete this form so we are aware of your sizing information for rehearsal outfit purposes.
T-Shirt Size
Leggings Size

Stage Statements

Any stage statements submitted in this form will be read on stage during various phases of competition.
Evening Gown Statement: Tell us about your dress/gown. The Designer, why you selected this gown and what you love about your gown.
State/Region Costume Statement: Tell us about your costume. This designer, why you selected this costume and what you love about it!
Fun Fashion Statement: Tell us a little bit about your personality and fun fashion attire.

Program Book Order Request

Please complete this form if you desire to purchase extra program books.
Quantity
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Preferred Method of Contact

Disclosures
I hereby certify that the Elite American Miss pageant, directors, staff and facility of location held, or anyone connected with the pageant is not responsible for any accidents, damages, injuries, thefts, or losses that may occur before, during, or after the pageant or to and from the pageant. I am aware that there are no refunds or credits of any kind given. I accept full responsibility for my child and their actions/behavior at all times. I understand that the judge’s decisions are final and will not be disputed. I understand that bad sportsmanship will not be tolerated (this will include my family members and friends who may be with me). I agree that if I or those with me, show poor sportsmanship, I will be disqualified from this pageant and any future pageants associated with Elite American Miss. I am aware that any photographs taken may be used for publicity.
I understand that bad sportsmanship will not be tolerated (this will include family members and friends who may be with me). If poor sportsmanship is shown, I will be disqualified from this pageant and any future pageants associated with Elite American Miss.
Should be Empty:

Optional Competitions