USA Ambassador Princess Program Registration Form
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
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State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Select the State you are from
*
Select Birth Date
*
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Month
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Day
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Year
Parent/Guardian
First Name
Last Name
Select Age- Age is as of July 1st
*
Please Select
4
5
6
Select Tee-Shirt Size
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Facebook User Name - Parent
IG Handle - If applicable
TikTok - If applicable
Headshot Picture
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Registration Fee
Mandatory USA Ambassador National Fee includes USA Ambassador rhinestone opening number t-shirt to be picked up at check in
$
50.00
State Registration Fee
Includes your Casual Wear and Evening Gown Competition, State Pageant Production, Gifts and Events at the State Pageant
$
350.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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the form.
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