Miss SE VA & Miss SE VA’s Teen Application

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.Please note we will use your number to call or text you.
Please enter a valid phone number.
3
Parent Phone Number (if under 18 years of age)* This field is required.Please note we will use your number to call or text you.
Please enter a valid phone number.
4
Email* This field is required.
example@example.com
5
Date of Birth* This field is required.
Date
Year
Month
Day
6
Which title are you competing for?* This field is required.Note that a total of 5 delegates are needed in each division (teen and Miss) to award two titles. In the event less delegates apply, the Miss Southeastern Virginia titles will apply.
Miss Southeastern Virginia
Miss Southeastern Virginia’s Teen
Miss Greater Hampton Roads
Miss Greater Hampton Roads Teen
7
Professional Headshot
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Select files to upload
Max. file size: 10.6MB
Submit the headshot you would like to use for the program, Judge's books and social media.
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8
Community Service Initiative (Brief explanation)
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Ok
9
Type a question
Please Select
Vocal Performance
Dance
Instruments
Gymnastics (all types)
Baton Twirling
Painting
Magic
Stand Up Comedy
Dramatic Reading
Monologues
Slam Poetry
Spoken Word
Flags or Color Guard Presentation
Martial Arts Demo
Silks
Roller Skating
Hula Hoops
Balancing Acts
Unicycling
Juggling
Theatrical Science Experiments
Ventriloquism
Rodeo/Roping
Cheerleading
Contortionist
Signing
Storytelling (HERstory)
Ballroom Dancing* (partner approval required)
Cheer Skills* (partner approval required)
10
Talent description
This will be added directly to the script for competition day. Please write it the way you would like it read.
11
Music UploadUpload any accompaniment music you required as part of your talent. Files must be in MP3 format.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Miss & Teen Entry Fee
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