USA National Miss Mississippi Pageant Application
Full Name
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First Name
Last Name
Age as of June 1, 2025
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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E-mail
*
example@example.com
Parents Name (if under 18)
First Name
Last Name
Please upload a professional headshot for the program book. Make sure your headshot is labeled firstname_lastname
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I understand that all fees are non-refundable and non-transferrable. I have read and agree to all the program rules found on the national website. I have read and agree to the responsibilities and requirements that I will have as a titleholder, as stated in the Titleholder Contract found on the national website, including the requirement to compete at the national pageant. By submitting this application, I certify that I am a natural born female and will compete as such, that I have never been married nor have I ever been pregnant or had a child, and that I am a legal resident and citizen of the United States of good moral character. I agree that USA National Miss has the right to refuse this application at its sole discretion and a refund of the entry fee will be provided if this application is refused.
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State Pageant Fees
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Pageant Entry Fee
$
350.00
Pageant Deposit
$
75.00
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info@usanationalmiss.com
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