Official Forms Packet

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MISS NEW YORK USA® OFFICIAL FORMS PACKET

Please complete pages 1 – 14 and Mail the completed forms as well as a copy of your Birth Certificate and Proof of Residency Documents to Pageant Headquarters by the first deadline on your checklist.

Before mailing these forms into Pageant Headquarters, please check to be sure you have: 1. Initialed the bottom of pages 2 – 8 2. Signed and Dated all forms where indicated

Official Forms

® 2018 MISS NEW YORK USA

First & Last Name: ______Your name will be printed in the Official State Program Book as written above. (No middle name or initial.)

Address: ______

City: ______State: ______Zip: ______

Phone Number: ( )______Current Age: ______

Date of Birth: ______Age you will be on December 31, 2017: ______

In order for you to participate in the 2018 MISS NEW YORK USA® pageant, please complete and return pages 1 - 14 of this form, plus photocopies of your birth certificate and proof of residency documents. Please refer to the enclosed checklist for your due date. Parent/Guardian signatures are required only if you are under 18 years old on the date you enter your signature.

! 1. Contestant’s Official Entry Form / Contract ! Date of birth entered on page 2 ! Shaded Boxes completed on pages 2, 3 and 6 ! Bottom of pages 2 - 8 initialed ! All signatures complete, and initials on page 8

! 2. Release & Participation Agreement

! 3. Comportment and Hotel Responsibilities

! 4. Contestant Agreement

! 5. Pageant Weekend Rules & Regulations

! 6. Medical Information Form

! 7. Title Request Form

! 8. Proof of Age Documentation – A photocopy of birth certificate is required

! 9. Proof of Residency Documentation – (See page 15) ! One (1) document from Column A AND two (2) from Column B. The 2 items from Column B must be dated: one before 7/12/17 and one dated after 7/12/17.

Please fill out all the necessary information, sign and date each form and mail them (do not fax) to:

MISS NEW YORK USA P.O. BOX 137276 CLERMONT, FL 34713

1 Official Entry Form / Contract MISS NEW YORK USA® Rules, Regulations and Terms ("Agreement")

For Contestants for the State Pageant Preliminary to the 2018 MISS USA® pageant

I am making the representations, disclosures, and agreements described below so that I will be eligible to participate in the state pageant in the state named above (for purposes of this Agreement, the District of Columbia is considered a state) (the “State”) preliminary to the 2018 MISS USA pageant (the “State Pageant”). I understand this is an important legal document relating to my participation in the State Pageant, and by signing this document I am waiving legal rights I may have against IMG Universe, LLC d/b/a The Miss Universe Organization (“Miss Universe”), IMG Worldwide, LLC, and their respective parents, subsidiaries, affiliates and others (collectively, “the Parties”). 1. I represent and warrant as follows: occasionally travel outside my State on behalf of my employer) “Permanent

(a) I understand that in this Agreement, "Miss Universe" means IMG Universe, LLC and primary residence” means my true, fixed and permanent domicile which d/b/a the Miss Universe Organization; “you" or "Licensee" means D & D I intend to make my permanent home. In order to establish my compliance Investments, Inc., who is the person or entity that conducts the State Pageant with these residency requirements, I am attaching photocopies of at least (except as otherwise defined in Paragraph 5 below); the "License Agreement" two of the following types of bona-fide documents, at least one of which means the Miss USA Preliminary State Pageant License Agreement between must be of document type (a) through (e): (a) my driver’s license; (b) my Miss Universe and Licensee; and, all other capitalized terms have the same voter identification or registration card and/or proof of voter history provided meanings as in the License Agreement unless otherwise defined in this by the state; (c) my resident tax return from the most recent tax year; (d) Agreement. lease or deed for a dwelling in my name (evidencing occupancy of dwelling for at least six months immediately prior to the commencement of the State (b) I understand and agree that you shall determine, in your sole judgment, the Pageant; (e) employment documents in my name (Form W-2 and pay stubs contestants for the State Pageant in accordance with standards prescribed by only) evidencing employment in the state for at least six months immediately Miss Universe from time to time. I understand that you have no obligation to prior to the commencement of the State Pageant; (f) my current school determine that I am entitled to serve as a contestant, even if I meet all eligibility records (e.g., transcript or report cards with my address) sufficient to requirements and any lawful selection criteria you may establish. I further establish the requirements of paragraph 1 (f) (2); (g) telephone or utility bills understand and agree that you will determine all eligibility issues for competition in my name (both the current bill and a bill dating back at least six months in the state Pageant in your sole judgment in accordance with standards immediately prior to the commencement of the State Pageant; and (h) bank prescribed by Miss Universe from time to time (although I understand that you or credit card statements in my name (both the current statement and a alone, and not Miss Universe, will be applying such standards), and I agree to statement dating back at least six months immediately prior to the abide by your determinations both as to myself and all other contestants as to commencement of the State Pageant). I will maintain such residency eligibility for competition in the State Pageant. If I am the winner of the State through the State Pageant and, if I win the State Pageant, through the 2018 Pageant, I understand and agree that Miss Universe will, in its sole judgment, Miss USA Pageant. If I am living at home and attending school and am determine who will serve as a contestant in the 2018 Miss USA Pageant and unable to provide one of the other forms of identification, I will furnish current determine all eligibility issues for competition in the 2018 Miss USA Pageant, bona-fide school records to validate my residence sufficient to establish the and I agree to abide by Miss Universe determinations both as to myself and requirements of paragraphs 1 (f) (2). I understand and agree that you have other 2018 Miss USA Pageant contestants. I further understand that if I am the the right to reject information or documentation you feel has not been winner of the State Pageant, Miss Universe’s only obligation will be to accept gathered or provided in good faith. me as a contestant in the 2018 Miss USA Pageant, provided that I at all times (2) I have resided in the State as a full time student at a school, college or have satisfied all the eligibility requirements and complied with and fulfilled all of university and will have completed one entire semester, trimester or summer my obligations, including, without limitation, those obligations set forth in this session immediately prior to December 31, 2017 and I will continue to reside Agreement (including, without limitation, Paragraphs 1 {h} and 5 below) and in in the State as a fulltime student at that same school, college or university the Contestant Official Entry Form/Contract for the 2018 Miss USA Pageant. I (although I may have spent or be spending the summer in another State). further agree to accept the obligations I will incur as a contestant for the State In order to establish my compliance with these residency requirements, I am Pageant under this Agreement. attaching bona-fide copies of my current school records (e.g., transcript or (c) I have never been married or had a marriage annulled. I have never given birth report cards). I understand and agree that you have the right to reject to a child, I am not a parent or guardian of any other adult or minor person, and I information or documentation you feel has not been gathered or provided in am not currently pregnant. These representations and warranties shall remain good faith. I will maintain such residency through the State Pageant and, if I true through the State Pageant and, if I win the State Pageant, through the 2018 win the State Pageant, through the 2018 MISS USA Pageant.

Miss USA Pageant. Is the foregoing statement, either (f1) or (f2), TRUE_____ FALSE_____ " (d) I am a citizen of the United States and will remain a citizen of the United States If the above is not true, & you answered FALSE, you must explain below: through the State Pageant and, if I win the State Pageant, through the 2018 ______MISS USA Pageant. ______(e) I represent and warrant that I am a female (recognized medically and legally as a ______female in the United States). If my gender or sex designated at birth was not female, I represent and warrant that: (a) I have fully completed sex I understand that, unless you (in accordance with standards prescribed reassignment (which can be certified by a physician, if requested by Miss from time to time by Miss Universe) decide in your sole judgment to accept Universe or the State Pageant Director); and (b) I have received and can other documents that you consider satisfactory, you will not accept any provide (if requested by Miss Universe or the State Pageant Director) legal documents other than the documents referred to above in order to recognition of my assigned sex as female by the U.S. Federal government or determine whether I comply with the applicable residency requirements. my U.S. state of residence. Documents acceptable for such legal recognition (g) The date of my birth is: . include: driver’s license or ID card issued by my state of residence, birth " I will be at least 18 and under 28 years of age before January 1, 2018. I certificate, U.S. Passport or Social Security card. am attaching a photocopy of my birth certificate or passport in order (f) I satisfy at least one of the two following residency and documentation to establish that I satisfy this age requirement. If I was not born in the requirements: United States, I am attaching a photocopy of my passport or

(1) I now reside and have resided in my State as my “permanent and primary naturalization papers establishing my age that I am a citizen of the residence” (as defined below) for a period of at least six consecutive months United States.

immediately prior to the commencement of the State Pageant (although I (h) I have never been a contestant or delegate in a Miss USA Pageant or a may have attended school, college or university on a full-time basis Miss Universe Pageant. In addition, I have not competed, and will not elsewhere) and, if employed, I am employed in my State (although I may 2 " Initial Here ______compete, in any other state pageant (including any preliminary state if I win the State Pageant, the 2018 Miss USA Pageant, with you. I have pageant) preliminary to the 2018 MISS USA Pageant or in any state not made and will not make prior to delivery any agreement to share any pageant (including any preliminary state pageant) preliminary to the 2018 Prize I receive from my participation in the State Pageant and, if I win the Miss Teen USA Pageant. If I am the current titleholder in any other state or State Pageant, the 2018 Miss USA Pageant with any individual, national pageant or competition system (other than a system preliminary to corporation or organization, including you. I shall not share, or make any the State Pageant), I acknowledge and agree that, unless I receive agreement or promise to share, any prize or any portion of any Prize permission from you and Miss Universe I must resign that title immediately with any other contestant in the State Pageant, and any such if I win my State Pageant. I understand that I will not be eligible to compete purported agreement or promise shall be unenforceable and subject in the 2018 Miss USA Pageant unless and until I resign my title in such me to immediate disqualification. other state or national pageant or competition system and that you or Miss (l) Neither I nor any member of my immediate family (i.e., mother, father, sister Universe may, in your and/or Miss Universe’s sole judgment, terminate my or brother) or anyone living in my household is currently, or has within the reign as Miss New York USA 2018 if I do not immediately resign my title in last two (2) years been, employed by or an officer, director or agent such other state or national pageant or competition system. (including a volunteer worker) of any of the following: (i) I agree that if I win my State Pageant, I will sign and return to you, within thirty (30) days after completion of the State Pageant, the Contestant's Official (1) You, any company or enterprise you own or control, or of any company Entry Form/Contract for the 2018 Miss USA Pageant. In the event of any or enterprise under common ownership or control with you; or

inconsistency between the terms, conditions and obligations set forth in the (2) Miss Universe, the Parties, Ernst & Young, or, any subsidiaries, affiliates or Contestant’s Official Entry Form/Contract for the 2018 Miss USA Pageant, on related companies of the foregoing. the one hand, and this agreement, on the other hand, the terms, conditions " Is the foregoing statement, Either (l1) or (l2): TRUE_____ FALSE_____ and obligations of the Contestant’s Official Entry Form/Contract for the 2018 Miss USA Pageant shall govern unless otherwise provided. I understand that If the above is not true, and you answered FALSE, you MUST complete the I will not be eligible to compete in the 2018 Miss USA Pageant unless and following so that eligibility can be determined (attach additional pages if until I timely sign the Contestant’s Official Entry Form/Contract for the 2018 necessary):

Miss USA Pageant. If I do not timely sign the Contestants Official Entry Name of relative/housemate who meets description in (l1) or (l2): Form/Contract for the 2018 Miss USA Pageant, I understand that you or Miss (If no one does, your answer above should be True.) Universe may, in your and/or Miss Universe’s sole judgment, terminate my ______reign as Miss New York USA 2018. Relationship: (j) Either: ______(1) I have not authorized or permitted the use of my name, voice or Employed by: (Company, City) likeness in connection with any product or commercial enterprise; given ______any written, verbal or other endorsement of any product, service or Dates of Employment: commercial enterprise; or, entered into any written or verbal agreement ______with any individual, corporation or organization, which in any way covers, Job Title: relates to or conflicts with my actions to be performed if I am required by ______

Miss Universe to participate or compete in the 2018 Miss USA Pageant or any events at the site of the 2018 Miss USA Pageant (“Host City”) or I understand that any such employment or relationship(s) may affect my elsewhere related to the 2018 Miss USA Pageant, or eligibility for the State Pageant and, if I win the State Pageant, the 2018

(2) I have taken one or more of the actions described in subparagraph Miss USA Pageant. If any of the foregoing conditions changes before or 1(i)(1) above, but: (i) any such contract, agreement, use or during competition at the State Pageant, I will immediately give you notice endorsement by its terms becomes automatically void and ceases of this fact so that you can make a determination as to my eligibility in your immediately if I become Miss USA 2018 or succeed to the Miss USA sole judgment. In addition, I acknowledge and agree that (i) you may, in 2018 title; and (ii) even if I do not become Miss USA 2018 or succeed your sole judgment, render eligible or ineligible, as the case may be, any to the Miss USA 2018 title any such contract, agreement use or person with such employment or relationship(s) and (ii) you may, in your endorsement by its terms is suspended and becomes temporarily void sole judgment, render ineligible any person who, in your sole judgment, is if I am required by Miss Universe to participate in the 2018 Miss USA sufficiently acquainted with any person or entity connected with the Pageant or any events at the Host City or elsewhere related to the production, administration, or judging of the State Pageant or the Miss USA 2018 Miss USA Pageant. pageant such that her participation in the State Pageant could create the appearance of impropriety. I promise not to agree to any contract, use or endorsement that does not comply with the requirements of subparagraph 1 (i) (2) above. If I am (m) I am not currently a candidate for public office. If I win the State pageant, I required by Miss Universe to participate in the 2018 Miss USA Pageant or agree not to become a candidate for public office until one (1) year after the any events at the Host City or elsewhere related to the 2018 Miss USA initial broadcast, if any, of the 2018 Miss USA Pageant. Pageant, and if I win or succeed to the Miss USA 2018 title, at all times during the period during which I hold such title, I will comply with Miss (n) I have NEVER appeared on any television contest, game, competition, or Universe's Sponsor arrangements (even if Miss Universe's Sponsor reality show or applied to be a contestant or participant on any television contest, arrangements are in direct conflict with any of your Sponsor arrangements). game, competition or reality show, and I have NEVER appeared, or agreed to appear, in any other television show or motion picture, online show or the like. I understand that it is your responsibility to inform me of any conflict of any of your Sponsors with any of Miss Universe's Sponsors relevant to the " Is the foregoing statement: TRUE______FALSE______above commitments so long as Miss Universe has notified you about Miss If the above is not true, and you answered FALSE, complete the following Universe's Sponsor(s) in question. so eligibility can be determined (attach additional pages if necessary):

As of this date, I have not entered into, and, if I am required by Miss Name of Show/Picture Tape Date (if applicable) Air Date (if applicable) Universe to participate in the 2018 Miss USA Pageant, at any time prior to or during the 2018 Miss USA pageant, or at any time during which I may ______hold the Miss USA 2018 title, I will not enter into, a management, agency or ______personal services contract with any individual, corporation or organization, ______or if I did or do enter into such a contract, it becomes null and void by its ______

terms if I win or succeed to the Miss USA 2018 title, or it is suspended and becomes temporarily void by its terms at all times during the period during I understand that any such appearances or applications may affect my eligibility which I hold such title. for the State Pageant and, if I win the State Pageant, the 2018 Miss USA

Pageant. If any of the foregoing conditions changes before or during Is the foregoing statement: TRUE______FALSE______" competition at the State pageant, I will immediately give you notice of this fact If the above paragraph is NOT TRUE, please explain so that eligibility so that you can make a determination as to my eligibility in your sole judgment. can be determined (please attach additional pages if necessary): ______(o) I agree that if any of the conditions, which I certify to in this Paragraph 1 ______change before or during the final competition of my State Pageant, I will ______immediately notify you in writing. I understand that any change in any of ______these conditions may result in my disqualification for the State Pageant. I further understand that if I win the State Pageant, any change in any of these (k) I understand that I have no duty to share any awards, money, goods, and conditions may result in my disqualification for the 2018 Miss USA Pageant. services (“Prizes”) I receive from my participation in the State Pageant and, 3 " Initial Here ______2. I understand and agree that you (in accordance with standards prescribed the Miss USA Pageant system, Miss Universe’s business activities and by Miss Universe from time to time) shall have sole judgment and control the business activities of the networks, stations, sponsors, and other over every aspect of the State Pageant, that your decisions on all matters exhibitors, assignees and licensees of the Material and/or the 2018 related to the State Pageant shall be final and binding on me in all respects, Miss USA Pageant (the “Business Activities”) for any purpose, including, that your decisions on all matters related to the State Pageant shall not be without limitation, for any commercial purpose whatsoever, including, subject to challenge or appeal and that your decisions on all matters but not limited to, product endorsement, related to the 2018 Miss USA related to the State Pageant shall not be subject to any limitations Pageant and/or any of the Business Activities. whatsoever, except for any limitations imposed by law. Without limiting the 4. I agree: forgoing in any way, I understand that I am competing for the title of Miss (a) If I am selected to participate in the State Pageant, to follow and New York USA 2018, and I understand and agree that, using your sole obey all of your rules, instructions, directions and requirements, as they judgment (and applying standards for judging prescribed by Miss Universe may be changed, modified or amended by you, at any time. I further from time to time), you will determine the manner and method of agree to participate as a contestant in the State Pageant as and to the conducting and judging the State Pageant and of selecting the winner of extent required by you on such dates and at such locations as you shall the State Pageant. I acknowledge that the judging may include the designate in your sole judgment, and which dates and locations you following categories: swimsuit; evening gown; and personality. I agree that may change in your sole judgment. If I win the State Pageant, I further the decision of the judges in these matters will be final and I agree to abide agree to participate as a contestant in the 2018 Miss USA Pageant as by the judges’ decision. I understand and agree that Miss Universe and to the extent required by Miss Universe on such dates and at such reserves the right to establish and modify, in its sole judgment and at any locations as Miss Universe may designate in its sole judgment, and time, the procedures and/or standards that you will employ for judging the which dates and locations Miss Universe may change in its sole State pageant. judgment. 3. In consideration of you considering me to be a contestant in the State (b) From the date I sign this Agreement until the completion of the State Pageant, and for other good and valuable consideration, the receipt and Pageant, whether or not I win or succeed to the title of my State sufficiency of which are hereby acknowledged, I irrevocably grant, assign Pageant, to conduct my activities and life in accordance with the highest and convey the following rights regardless of whether I am selected as a ethical and moral standards, and I will not engage in any activity that contestant in the State Pageant: might bring myself, you, Miss Universe, the State Pageant, the Miss (a) Miss Universe and those Miss Universe authorizes shall have the USA Pageant , the Miss USA Pageant System, the Parties, or any of exclusive right to (i) interview me, as many times and for such periods their respective subsidiaries, affiliated or related companies, officers, of time as Miss Universe requests in its sole judgment, and to directors, partners, shareholders, or employees into public disrepute, videotape, film, audio record, and otherwise record such interview(s) ridicule, contempt or scandal or might otherwise reflect unfavorably and my statements and appearances therein, including my name, voice upon any of the foregoing individuals or entities or might shock, insult, and likeness and (ii) to videotape, audiotape, film, portray, photograph or offend the community or any class or group thereof. I acknowledge and otherwise record me, my likeness and my actions and record my that, by way of example, and without limiting the generality of the voice and other sound effects, alone or together with others. Any such foregoing in any way, appearing in public or permitting myself to be recordings, and all information and materials I have supplied or may photographed in a state of partial or total nudity or in a lewd, supply (including, without limitation, written submissions, biographical compromising or sexually suggestive manner constitutes a violation of information, photographs and videos of me and/or others), any and all this provision (this includes photographs, images or videos that may other information Miss Universe may have received or will receive from appear on any web site or social media platform, such as Facebook or other sources about me, as well as my appearance, actions, voice and YouTube, or that may be recorded or captured privately [and is sound effects in connection with the State Pageant, and the results and distributed to any other person or entity]). If, from the date I sign this proceeds of my participation in the State Pageant, and any Agreement until the completion of the State Pageant, I am arrested or reproductions or recordings of any nature of any of the foregoing, in charged with the commission of a crime (including, without limitation, whole or in part, shall be referred to as the “Material.” The Material reckless or drunk driving or minor in possession of alcohol, or illegal shall also include, without limitation, any and all material that I may possession or use of drugs) or engage in any activities in violation of create (or participate in the creation of) in connection with the State this provision, then you or Miss Universe may, in your and/or Miss Pageant, including, without limitation, any personal journals or diaries Universe sole judgment, disqualify me from participating in the State (including, without limitations, video diaries, vlogs and blogs) I write or Pageant and/or succeeding to the title Miss New York USA 2018. If I contribute to, any content I post or distribute through on-line, mobile or am selected Miss New York USA 2018 and during my reign knowledge social media, and any photographs and other recordings taken by me of any such arrests, criminal charges or activities becomes known to in connection with the State Pageant. The Material, including the you or Miss Universe, then you or Miss Universe may, in your and/or copyright and all other rights therein, shall be the sole and exclusive Miss Universe’s sole judgment, terminate my reign as Miss New York property of Miss Universe. The Material may be used, broadcast, USA 2018. Your and/or Miss Universe’s decisions on all matters arising exhibited, distributed, advertised, publicized, promoted or otherwise under this provision shall be conclusive. exploited by such means and for such purposes (including, without limitation, merchandising, and commercial and non-commercial (c) To deal with both you and Miss Universe fairly and in good faith in the publishing) and by and in any manner and in any and all media, now performance of my obligations under this Agreement, and to not make known or hereafter devised (including, without limitation, television, misrepresentations or misleading or untruthful statements to you and Miss Universe. theatrical, non theatrical, cassettes, discs and other home video devices, radio, the Internet and other on line or computer-assisted (d) To execute any and all documents which are or may be necessary to media, and print media) as Miss Universe designates, throughout the fulfill my obligations under this Agreement. universe and in perpetuity, at any time and from time to time, whether as part of the State Pageant or otherwise. The Material may be edited, (e) I understand and agree that if I participate as a contestant in the State cut, rearranged, adapted, dubbed, fictionalized or otherwise revised or Pageant, I shall appear as myself, and my appearance shall not be a modified or combined, in whole or in part, with other material or works performance, shall not constitute an employment relationship between for any such purposes by Miss Universe in its sole judgment, and I me and you, shall not be subject to any union or guild collective waive the exercise of any “moral rights” and “droit moral” and any bargaining agreement, and shall not entitle me to any wages, salary, analogous rights however denominated in any jurisdiction of the world. corporate benefits, workers’ compensation benefits, or other Miss Universe will own any so called “rental and lending rights” or compensation of any kind, under any such collective bargaining similar rights agreement or otherwise. I also understand that nothing in this Agreement or any conduct pursuant thereto shall constitute an agency (b) Miss Universe and those Miss Universe authorizes shall have the relationship between me and you and that I shall have no authority to perpetual, worldwide and exclusive right to use my name, sobriquet, speak or act on your behalf whatsoever, except as may otherwise be likeness (actual or simulated), photograph, caricature, voice, expressly required or permitted by you. biographical material, signature and other indicia of my identity, in any (f) I understand and agree that I shall be responsible for all taxes and other manner and in any and all media whatsoever (whether now or hereafter obligations that are or may come due as a result of my receipt of any Prize known or devised), in and in connection with the development, or other compensation in or in connection with the State Pageant, if any. production, exhibition, advertising, publicity, promotion, marketing, 5. If I am selected as the State Pageant titleholder, I agree to comply with merchandising and any other exploitation of the State Pageant, the the following terms and conditions: Material (whether as part of the State Pageant or otherwise), the 2018 (a) During the term of my reign as the State Pageant titleholder: Miss USA Pageant, or in connection with the exploitation of any subsidiary and ancillary rights therein, any future Miss USA Pageant, 4 " Initial Here ______(1) To cooperate fully with you and your affiliates, employees, agents, and/or Miss Universe’s attorneys’ fees and costs incurred to enforce the representatives, designees, sponsors, official charity affiliations and the terms of this provision. I acknowledge and agree that my obligations with like in carrying out their instructions in connection with the actions I will respect to confidentiality and publicity as set forth in this provision shall be performing under this Agreement and in connection with my continue in perpetuity unless terminated by Miss Universe in writing. In no preparation for competition in the 2018 Miss USA Pageant. Without event will I have the right to terminate my confidentiality obligations under this limiting the foregoing, I agree to follow and obey all rules, instructions, Agreement. directions and requirements implemented by you in connection with my (c) If, during the term of my reign as the State Pageant titleholder, I: (i) refuse or reign as the State Pageant titleholder, as they may be changed, fail to carry out my obligations under this Agreement or otherwise breach this modified or amended by you at any time. " Agreement or any other agreement made in connection with the State (2) To make myself available for and accept appointments and Pageant or my reign as Miss New York USA 2018: (ii) become so mentally, appearances, and to keep punctually all appointments and physically, or otherwise incapacitated that I am unable, in your reasonable appearances that have been scheduled for me and require my opinion, to carry out my duties, (iii) marry or become pregnant or become a presence. parent [or guardian to any other adult or minor person]; or (iv) am prevented (3) You will have the exclusive right and control over all personal from carrying out my duties because of an act of God, rule, order or act of appearances which I may make or any services which I may render in government or governmental instrumentality, or other cause of similar or the entertainment, literary and related fields. Without limiting the different nature beyond my control, then you or Miss Universe will have the foregoing, I will not, without first obtaining your written consent, make right in your and/or Miss Universe’s sole judgment to take any action that you any personal, television (both on scripted or unscripted television and/or Miss Universe deem appropriate, including, without limitation, programming), motion picture, Internet/On-line or radio appearances or terminating my reign as Miss New York USA 2018, withholding any Prizes or otherwise participate in, prepare or assist in the preparation of any other compensation to which I may have been entitled, and requiring me to written, audio or visual work, that depicts, concerns, or relates in any return any prizes or other compensation I may have already received. way to me, including, without limitation, any motion picture, television program, commercials, music recordings, merchandising, screenplay, (d) I will not, anywhere in the world, enter into any agreement to perform teleplay, print article, book, or internet or web, mobile or social media modeling, acting, performing, advertising, literary or writing, entertainment, content. For the avoidance of doubt, I acknowledge and agree that the theatrical or promotional services depicting, concerning, or relating in any way foregoing restrictions shall apply to all such appearances, services and to my State Pageant title or my affiliation with the State Pageant or the Miss works, regardless whether or not related to my reign as Miss New York USA Pageant; endorse any product, service or commercial enterprise if the USA 2018 or the Miss New York USA Pageant. endorsement features or references my State Pageant Title or my affiliation (4) Not to engage in any conduct, acts, or omissions that may be with the State Pageant or the Miss USA Pageant; or make or allow others to detrimental to you, your affiliates, others connected with you, the State make use of or reference my State Pageant title or my affiliation with the Pageant or Miss USA Pageant. State Pageant or the Miss USA Pageant for any other commercial purposes, (5) To deal with you fairly and in good faith in the performance of my unless I first receive the specific written consent of Miss Universe or, during obligations under this Agreement. my reign as Miss New York USA 2018, you. (6) To execute any and all documents which are or may be necessary to (e) I understand that if my reign as Miss New York USA 2018 is terminated for fulfill my obligations under this Agreement. any reason (including, without limitation, in accordance with Paragraphs 1{g}, (7) Not to be the current titleholder in any other state or national pageant or 1{h}, 4{b}, 5{c}, 8, 9{a}, and 9{b} herein) or if I resign my reign as Miss New competition system (other than a system preliminary to the State York USA 2018 for any reason, such termination or resignation shall not Pageant) affect any of the rights I have assigned to you, Miss Universe or others in this (8) Not to solicit or accept money, goods, or services (whether through Agreement or in any other agreement related to the State Pageant or my fundraisers or as donations) for myself in connection with the State reign as Miss New York USA 2018 or any of the covenants, agreements, Pageant, my reign as the Miss New York USA 2018 titleholder, or the waivers, releases or indemnities made by me in this Agreement or any other 2018 Miss USA Pageant without the prior written consent of you or agreement related to the State Pageant or my reign as Miss New York USA Miss Universe. 2018, including, without limitation, Paragraphs 1, 3, 5, and 13 herein. In (9) Not to compete in any other pageant or competition other than the addition, if my reign as Miss New York USA 2018 is terminated for any 2018 Miss USA Pageant (and if selected as Miss USA 2018, the 2018 reason or if I resign my reign as Miss New York USA 2018 for any reason, Miss Universe Pageant) or to participate in any other pageant or my Miss New York USA 2018 title, and my preliminary state pageant and/or competition system as a proprietor, director, officer, employee, principal, at large state pageant title(s), if any, shall be void and I will thereafter have no agent, entertainer, judge, advisor, volunteer or consultant. right to use such title(s) for any purpose whatsoever, I shall forfeit any Prizes (b) I understand and agree that all publicity in connection with the State Pageant or other consideration which I may have won and I will return any and all and my reign as Miss New York USA 2018 is under the sole control of Miss prizes or other consideration already delivered to me. In such event, you Universe and you, and I agree that, except as otherwise required or permitted and/or Miss Universe may make any public explanation or announcement by you or Miss Universe, I will not advertise or promote the State Pageant or you and/or Miss Universe choose regarding such action. my reign as Miss New York USA 2018, receive or generate any monetary (f) I understand and agree that my activities as Miss New York USA 2018 shall advantage from my reign as Miss New York USA 2018, or use or disclose to not be a performance, shall not constitute an employment relationship any party any information or trade secrets obtained or learned as a result of between me and you, shall not be subject to any union or guild collective my reign as Miss New York USA 2018, nor shall I authorize any others to do bargaining agreement, and shall not entitle me to any wages, salary, so. Without in any way limiting the foregoing, I shall not prepare or assist in corporate benefits, workers’ compensation benefits, or other compensation of the preparation of any written, audio, or visual work (including, without any kind, under any such collective bargaining agreement or otherwise. I limitation, any television or radio programming, commercials or also understand that nothing in this Agreement or any conduct pursuant advertisements, print media, Internet/on-line/mobile/social media services, or thereto shall constitute an agency relationship between me and you and that I any other media outlet, whether now known or hereafter devised) that depicts, shall have no authority to speak or act on your behalf whatsoever, except as concerns, or relates in any way to my reign as Miss New York USA 2018, the may otherwise be expressly required or permitted by you. Miss New York USA Pageant or the business affairs of you or Miss Universe. In addition, I shall consult with Miss Universe or you regarding any and all (g) I understand and agree that I shall be responsible for all taxes and other publicity in connection with the State Pageant or my reign as Miss New York obligations that are or may come due as a result of my receipt of any Prize or USA 2018, and I shall not consent to any publicity without the prior written other compensation in or in connection with my reign as Miss New York USA approval of Miss Universe or, during my reign as Miss New York USA 2018, 2018, if any. you. I recognize that a breach by me of this provision would cause you and For purposes of this Paragraph 5 and Paragraphs 7 and 13 only, “you” Miss Universe irreparable injury and damage that cannot be reasonably or means either you (as defined in Paragraph 1{a} above) or, if you are no adequately compensated by damages in an action at law, and, therefore, I longer actively serving as a Miss Universe licensee in the State, any other hereby expressly agree that each of you and Miss Universe shall be entitled individual or entity who is then currently serving as a Miss Universe licensee to injunctive and other equitable relief, without posting any bond, to prevent in the State, as authorized and recognized by Miss Universe. and/or cure any breach or threatened breach of this provision. In addition, I 6. If the title Miss New York USA 2018 becomes vacant and I succeed to the title, I agree that in the event of any breach of this provision by me, I will return any agree to serve as Miss New York USA 2018 and perform all the obligations prizes or other compensation that I may already have received in connection relating to said title contained in this Agreement, including, but not limited to, the with the State Pageant, and I forfeit my right or opportunity to receive any terms of paragraph 5 above. However, I acknowledge that if this happens, I will prizes or other compensation that I have not yet received, and you and Miss not be entitled to any of the Prizes awarded to Miss New York USA 2018 at the Universe shall each have the right to seek, among other things, (1) recovery time of her selection. or disgorgement of the monies or other consideration received by me in connection with my breach of this provision, if any, and (2) recovery of your 5 " Initial Here ______7. I acknowledge Miss Universe’s exclusive ownership and the validity of the WOULD NOT OTHERWISE HAVE RESULTED IN DISQUALIFICATION trademarks and service marks “MISS UNIVERSE,” “MISS TEEN UNIVERSE,” HAD THE APPLICANT ANSWERED TRUTHFULLY. “MISS USA,” “MISS TEEN USA,” and further acknowledge that the MISS If you or Miss Universe determine that I at any time have been arrested or UNIVERSE, MISS USA and MISS TEEN USA Pageants and the associated charged with the commission of a crime (including, without limitation, trademarks, trade names and service marks are the exclusive property of Miss reckless or drunk driving or minor in possession of alcohol or illegal Universe. All uses of these trademarks and service marks in connection with possession or use of drugs) or engaged in any activities in violation of this my activities will inure to the benefit of Miss Universe. I understand and agree " provision, then you or Miss Universe may, in your and/or Miss Universe’s that any good will attributable to my use of these trademarks and service marks sole judgment, disqualify me from participating in the State Pageant and/or vests exclusively in Miss Universe. I agree that I will not engage in any acts or succeeding to the title Miss New York USA 2018. If I am selected the omissions which may damage or otherwise affect Miss Universe’s trademark winner of my State Pageant and during my reign, knowledge of any such and/or property rights or Miss Universe’s goodwill therein in any manner criminal charges or activities becomes known to you and/or Miss Universe, whatsoever. I further agree that I will not in any way dispute or impugn the then you or Miss Universe shall have the right to terminate my reign as validity of any of Miss Universe’s trademarks and service marks, Miss Miss New York USA 2018. Your and/or Miss Universe’s decisions on all Universe’s rights to those trademarks and service marks, or Miss Universe’s matters arising under this provision shall be conclusive. rights to use those trademarks and service marks. I will not at any time use, or allow others to use, any of Miss Universe’s names, logos, trademarks, trade (b) If I am selected as State Pageant titleholder, I will at all times during the names or service marks (including, without limitation, my State Pageant, term of my reign conduct my activities and life in accordance with the preliminary state pageant and/or at-large state pageant title[s] if any and as highest ethical and moral standards. If, during the term of my reign, I am applicable) or those of any of Miss Universe’s related companies or any names, arrested or charged with the commission of a crime (including, without logos, trademarks, trade names, or service marks confusingly similar to any of limitation, reckless or drunk driving or minor in possession of alcohol or Miss Universe’s names, logos, trademarks, trade names or service marks in illegal possession or use of drugs) or engaged in any activities that might connection with any kind of modeling, acting, performing, advertising, theatrical bring myself, you, Miss Universe, the State Pageant, the Miss USA or promotional services I may perform and/or any advertising, promotion, Pageant, the Miss USA Pageant System, the Parties, or any of their publicity, merchandise, or other product or service, unless I first receive the respective subsidiaries, affiliated or related companies, officers, directors, specific written consent of Miss Universe or, during my reign as Miss New York partners, shareholders, or employees into public disrepute, ridicule, USA 2018 (if I am the State Pageant titleholder), you. contempt or scandal or might otherwise reflect unfavorably upon any of the foregoing individuals or entities or might shock, insult, or offend the 8. I hereby certify, represent and warrant that all statements, disclosures and community or any class or group thereof, then you or Miss Universe shall representations made by me in this Agreement, in any other document or have the right to terminate my reign as Miss New York USA 2018. I agreement that I have signed or will sign in connection with the State Pageant, acknowledge that, by way of example, and without limiting the generality of and that I otherwise provide to you, are true, accurate and complete. Without in the foregoing in any way, appearing in public or permitting myself to be any way limiting the foregoing, I certify that I have not withheld or photographed in a state of partial or total nudity or in a lewd, compromising mischaracterized any information regarding myself or my background. In or sexually suggestive manner constitutes a violation of this provision (this addition, I agree that I will fully comply with all of the terms, provisions, includes photographs, images or videos that may appear on any web site restrictions and obligations of this Agreement and any other requirements you or social media platform, such as Facebook or YouTube or that may be or Miss Universe impose on me. If any statement, disclosure or representation recorded or captured privately [and distributed to any other person or made by me is false, misleading or incomplete in any respect, I omit to make a entity]). Your and/or Miss Universe’s decisions on all matters arising under required representation or to state a fact which would render a statement, this provision shall be conclusive. disclosure or representation I have made not misleading, I fail to fully comply with all of the terms, provisions, restrictions and obligations of this Agreement or 10. I understand that if I withdraw as a contestant in the State Pageant for any any other requirements you or Miss Universe impose on me, or I breach any reason, am disqualified from the State Pageant for any reason (including, other agreement I have made or may make in connection with the State without limitation, as set forth in Paragraphs 4{b}, 8 and 9{a} herein) or Pageant, you or Miss Universe may, in your and/or Miss Universe’s sole otherwise am unable to participate in the State Pageant for any reason, no judgment, take any action that you and/or Miss Universe deem appropriate, such withdrawal, disqualification or inability to participate shall affect any of including, without limitation, disqualifying me from participating in the State the rights I have assigned to you, Miss Universe or others in this Pageant, succeeding to the State pageant title and/or terminating my reign as Agreement or any other agreement related to the State Pageant or any of Miss New York USA 2018 (if I am the State Pageant titleholder), as applicable. the covenants, agreements, waivers, releases or indemnities made by me in this Agreement or any other agreement related to the State Pageant, 9. (a) I represent that at all times prior to the date of this Agreement, I have including, without limitation, Paragraphs 1, 3, and 13 herein. In addition, if I conducted my activities and life in accordance with the highest ethical and moral withdraw as a contestant in the State Pageant for any reason, am standards and that I have never been arrested or charged with the commission disqualified from the State Pageant for any reason or otherwise am unable of a crime (including, without limitation, reckless or drunk driving or minor in to participate in the State Pageant for any reason, my preliminary state possession of alcohol or illegal possession or use of drugs) or engaged in any pageant and/or at-large state pageant title(s), if any, shall be void and I will activities that might bring myself, you, Miss Universe, the State Pageant, the thereafter have no right to use any such title(s) for any purpose whatsoever, Miss USA Pageant, the Miss USA Pageant System, the Parties, or any of their I shall forfeit any Prizes or other consideration which I may have won and I respective subsidiaries, affiliated or related companies, officers, directors, will return any and all Prizes or other consideration already delivered to me. partners, shareholders, or employees into public disrepute, ridicule, contempt or In such event, you and/or Miss Universe may make any public explanation scandal or might otherwise reflect unfavorably upon any of the foregoing or announcement you and/or Miss Universe choose regarding such action. individuals or entities or might shock, insult, or offend the community or any class or group thereof. I acknowledge that, by way of example, and without 11. TO THE MAXIMUM EXTENT PERMITTED BY LAW, I IRREVOCABLY limiting the generality of the foregoing in any way, having appeared in public or RELEASE YOU, IMG UNIVERSE LLC D/B/A THE MISS UNIVERSE permitted myself to be photographed in a state of partial or total nudity or in a ORGANIZATION, THE PARTIES, AND ALL OTHER PERSONS AND lewd, compromising or sexually suggestive manner constitutes a violation of this ENTITIES CONNECTED WITH THE MISS USA PAGEANT, AND EACH provision (this includes photographs, images or videos that may appear on any OF THEIR RESPECTIVE PARTNERS, OFFICERS, DIRECTORS, web site or social media platform, such as Facebook or YouTube or that may AGENTS, REPRESENTATIVES, EMPLOYEES, SUCCESSORS be recorded or captured privately [and distributed to any other person or entity]). ASSIGNEES AND LICENSEES (HEREIN THE “RELEASED PARTIES”)

Is the foregoing statement in 9(a): TRUE______FALSE______FROM ANY AND ALL CLAIMS, ACTIONS, DAMAGES, LIABILITIES, " LOSSES, COSTS AND EXPENSES OF ANY KIND (INCLUDING, If the above is not true and you have answered FALSE, you MUST explain WITHOUT LIMITATION, ATTORNEYS’ FEES AND COSTS) ARISING in full: (Please include all details pertaining to the situation including dates OUT OF, RESULTING FROM, OR BY REASON OF THE CONTESTANT and final outcome. Attach additional paper if needed.) RECRUITING AND SELECTION PROCESS, YOUR FAILURE TO ______SELECT ME AS A CONTESTANT IN THE STATE PAGEANT, MY ______PARTICIPATION IN OR IN CONNECTION WITH THE STATE PAGEANT ______OR THE CONTESTANT RECRUITING AND SELECTION PROCESS, ______INCLUDING, WITHOUT LIMITATION, ANY TRAVEL I UNDERTAKE IN ______CONNECTION WITH MY PARTICIPATION IN THE STATE PAGEANT, AN ANSWER OF “NO” ABOVE MAY NOT NECESSARILY LEAD TO ANY EXPLOITATION OF THE STATE PAGEANT OR MY APPEARANCE DISQUALIFICATION; HOWEVER, IT IS IMPORTANT THAT LICENSEE IN THE STATE PAGEANT, OR ANY USE OF ANY PRIZE OR GIFT AND MISS UNIVERSE ARE AWARE OF SUCH INFORMATION. YOUR AWARDED TO ME IN CONNECTION WITH THE STATE PAGEANT ON FAILURE TO ANSWER TRUTHFULLY MAY LEAD TO ANY LEGAL THEORY WHATSOEVER (INCLUDING, BUT NOT LIMITED DISQUALIFICATION EVEN IF THE UNDISCLOSED INFORMATION TO, PERSONAL INJURY, RIGHTS OF PRIVACY AND PUBLICITY, OR 6 " Initial Here ______DEFAMATION) (COLLECTIVELY, THE “RELEASED CLAIMS”). THE others to do so. Without in any way limiting the foregoing, I will not prepare RELEASED CLAIMS SPECIFICALLY INCLUDE, WITHOUT LIMITATION, or assist in the preparation of any written, audio or visual work (including, ANY AND ALL CLAIMS, ACTIONS, DAMAGES, LIABILITIES, LOSSES, without limitation, any television or radio programming, commercials or COSTS AND EXPENSES OF ANY KIND RESULTING FROM THE advertisements, print media, Internet/on-line/mobile and social media ACTIONS OF ANOTHER CONTESTANT OR ANY OTHER THIRD services, or any other media outlet, whether now known or hereafter PARTY AT ANY TIME. TO THE MAXIMUM EXTENT PERMITTED BY devised) that depicts, concerns or relates in any way to my participation in LAW, I ALSO AGREE THAT I WILL NOT BRING OR BE A PARTY TO or in connection with the State Pageant or the business affairs of you or ANY LEGAL ACTION OR CLAIM AGAINST THE RELEASED PARTIES Miss Universe. In addition, I shall consult with Miss Universe or you BASED ON ANY OF THE RELEASE CLAIMS HEREUNDER. IN THE regarding any and all publicity in connection with the State Pageant or my EVENT THAT THE FOREGOING RELEASE IS DEEMED participation or involvement in the State Pageant , and I shall not consent to UNENFORCEABLE FOR ANY REASON, MY SOLE REMEDY FOR any publicity without the prior written approval of Miss Universe or, until the BREACH OF THIS AGREEMENT BY YOU SHALL BE AN ACTION AT succeeding year’s State Pageant in the State, you. I recognize that a LAW FOR MONEY DAMAGES IN WHICH MY RELIEF WILL BE LIMITED breach by me of this paragraph would cause you and Miss Universe TO A REFUND OF THE ENTRY FEE THAT I PAID TO PARTICIPATE IN irreparable injury and damage that cannot be reasonably or adequately THE STATE PAGEANT. IN NO EVENT WILL THE RELEASED PARTIES compensated by damages in an action at law, and, therefore, I hereby HAVE ANY LIABILITY TO ME ON ANY CAUSE OF ACTION FOR ANY expressly agree that each of you and Miss Universe shall be entitled to INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, OR injunctive and other equitable relief, without posting any bond, to prevent SPECULATIVE DAMAGES, IRRESPECTIVE OF WHETHER SUCH and/or cure any breach or threatened breach of this paragraph by me. In DAMAGES ARISE UNDER CONTRACT, TORT, STATUTE, OR addition, I agree that in the event of any breach of this paragraph by me, I OTHERWISE AND WHETHER OR NOT THE PARTIES HAVE ADVANCE shall return any Prizes or other compensation that I may already have NOTICE OF THE POSSIBILITY OF SUCH DAMAGES. THESE received in connection with the State Pageant and forfeit my right or LIMITATIONS SHALL APPLY NOTWITHSTANDING ANY FAILURE OF opportunity to receive any Prizes or other compensation that I have not yet ESSENTIAL PURPOSE OF ANY LIMITED REMEDY. received, and you and Miss Universe shall each have the right to seek, among other things, (a) recovery or disgorgement of the monies or other IF THIS AGREEMENT IS BEING SUBSCRIBED IN CALIFORNIA AND/OR consideration received by me in connection with the breach of this provision BY A CALIFORNIA RESIDENT, THE FOLLOWING SHALL APPLY: I by me, if any, and (b) recovery of your and/or Miss Universe’s attorneys’ HEREBY KNOWINGLY, VOLUNTARILY, EXPRESSLY AND fees and costs incurred to enforce the term of this paragraph. I IRREVOCABLY WAIVE APPLICATION OF CALIFORNIA CIVIL CODE acknowledge and agree that my obligations with respect to confidentiality SECTION 1542, WHICH I CERTIFY I HAVE READ AND WHICH STATES and publicity as set forth in this paragraph shall continue in perpetuity IN PERTINENT PART: “A GENERAL RELEASE DOES NOT EXTEND TO unless terminated by Miss Universe in writing. In no event will I have the CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO right to terminate my confidentiality obligations under this Agreement. EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS 14. I agree that you and/or Miss Universe may disclose any and all of the SETTLEMENT WITH THE DEBTOR”. I UNDERSTAND AND information provided by me to any person for any purpose, on or off-air, to ACKNOWLEDGE THE SIGNIFICANCE AND CONSEQUENCE OF MY the maximum extent permitted by law. WAIVER OF CALIFORNIA CIVIL CODE SECTION 1542 AND FURTHUR 15. I acknowledge that I may not assign or otherwise transfer any of my rights UNDERSTAND AND ACKNOWLEDGE THAT I MAY HEREAFTER or obligations under this Agreement unless I have first obtained Miss DISCOVER CLAIMS PRESENTLY UNKNOWN OR UNSUSPECTED, OR Universe’s express written consent, which Miss Universe may withhold for FACTS IN ADDITION TO OR DIFFERENT FROM THOSE WHICH I NOW any or no reason. KNOW OR BELIEVE TO BE TRUE WITH RESPECT TO THE MATTERS RELEASE HEREIN, NEVERTHELESS, IT IS MY INTENTION, THROUGH 16. I agree not to seek to enforce any of my rights under this Agreement, or to MY EXECUTION OF THIS AGREEMENT, TO FULLY AND FINALLY make any claim arising out of or related in any manner to this Agreement, SETTLE AND RELEASE ALL SUCH MATTER, AND ALL CLAIMS my relationship with you or my status as a contestant to the State Pageant, RELATIVE THERETO, WHICH DO NOW EXIST, MAY EXIST OR HAVE against any person or entity other than you. I further agree that I will not be EXISTED, AND THAT I WILL HEREAFTER NOT BE ABLE TO MAKE entitled to rescind this Agreement or seek injunctive or any other equitable ANY CLAIM AGAINST THE RELEASE PARTIES REGARDING ANY relief, including, without limitation, to seek to enjoin, restrain or interfere in SUCH MATTERS. any way with the production, conduct, presentation or exploitation of the State Pageant or the 2018 Miss USA Pageant. 12. I irrevocably authorize you, Miss Universe and those either of you authorize to investigate, access and collect information about me, about any of the 17. The expiration, termination, cancellation or breach of this Agreement on statements made by me in this Agreement, any supporting documents and whatever grounds and by whomever effected shall not affect any of your any other document that I have signed or do sign in connection with my and Miss Universe’s rights under this Agreement, according to the terms participation as a contestant in the State Pageant, or any other written or and conditions of this Agreement. oral statements I make in connection therewith. I irrevocably authorize you, 18. The invalidity or unenforceability of any provision of this Agreement will not Miss Universe and/or those you and/or Miss Universe authorize to secure affect the validity or enforceability of any other provision; provided, however, information about my experiences from any source, including, without that the aggregate of all such provisions found to be invalid or limitation, my current and former employers, associates, family members, unenforceable does not materially affect the benefits and obligations of the educational institutions, government agencies, credit reporting agencies, parties to this Agreement taken as a whole. and any references I have provided, and I irrevocably authorize such parties to provide information concerning me. I hereby unconditionally and 19. This agreement contains the entire understanding of the parties, and all irrevocably release and forever discharge all such parties and persons from prior agreements between the parties with respect to the subject matter of any and all liabilities arising out of or in connection with any such this Agreement are nullified and superseded. This Agreement will not be investigation. I acknowledge and agree that any such information obtained construed against its drafter. All previous statements, representations and by you, Miss Universe and those you and/or Miss Universe authorize negotiations, whether oral or written, are hereby superseded by this pursuant to this provision or otherwise may be used for any purposes Agreement. I acknowledge that no promises, representations or other designated by you and/or Miss Universe in your and/or Miss Universe’s sole inducements have been made to cause me to enter into this Agreement judgment (including, without limitation, to disqualify me), and may be which are not set forth in this Agreement. This Agreement may be set described or otherwise related to any third party in any manner or media, aside, augmented, revised or modified only by a written instrument including without limitation, in advertisements, promotions, publicity, executed in the same manner. In the event of any inconsistency between marketing, and merchandising, and in any other manner. the terms, conditions and obligations set forth in any application, agreements or other documents I have or may complete or execute at the 13. I understand and agree that all publicity in connection with the State request of you or Miss Universe, on the one hand, and this Agreement, on Pageant is under the sole control of Miss Universe and you, and that, the other hand, the terms, conditions and obligations set forth in this except as otherwise required or permitted by Miss Universe or, until the Agreement shall govern unless otherwise provided (including, without succeeding year’s state pageant in the State, you, I will not advertise or limitation, as otherwise provided in Paragraph 1{i} above). promote my participation in the State Pageant, receive or generate any monetary advantage from my participation the State Pageant, or use or 20. Miss Universe is not a party to this Agreement. However, Miss Universe is disclose to any party any information or trade secrets obtained or learned as a third party beneficiary to this Agreement and will enjoy the fruits of this a result of my participation in the State Pageant nor shall I authorize any Agreement and will be entitled to enforce the terms of this Agreement.

7 " Initial Here ______" STOP - Double check your work.

Have you initialed the bottom of each page thus far & answered every question in the shaded areas with an arrow next to it? If so, sign and initial below.

My signature below and your acceptance and agreement indicated by your signature below will constitute this Agreement a binding agreement and contract between us.

" Contestant ______← (Signature of Contestant) REQUIRED Sign & Date.

" Also, Contestant, ______initial at the

(Contestant Name - Please Print) bottom of this

page " ______(Date) ↓

If the contestant is a minor, I represent and warrant that I am the parent or legal guardian of the minor whose name appears above, that I have read and approve of the foregoing Agreement, and consent to its execution by my child/ward. I agree that I and my child/ward shall be bound and obligated by the terms set forth in this Agreement. I hereby release the Released Parties as set forth and in accordance with Paragraph 11 above from any claims and/or causes of action I may have against them of any nature whatsoever. I hereby fully and unconditionally guarantee the performance of my child’s/ward’s obligations, if any, and the grant of rights, including, without limitation, the rights in and to the results and proceeds of my child’s/ward’s activities, as set forth above.

______(Signature of Parent or Guardian) REQUIRED " Contestant only if ______initial at the contestant is under 18 (Parent or Guardian Name - Please Print) bottom of

this page ______(Date) ↓

------FOR OFFICE USE ONLY------

Accepted and agreed to:

______(Signature – Pageant Representative)

______(Name of Pageant Rep - Please Print)

______(Date)

8 " Initial Here ______

Release and Participation Agreement

D & D Investments, Inc. (“D & D”) is a producer of state beauty pageants under license from The Miss Universe Organization (“Miss Universe”), including the following:

Miss New York USA (“NY Miss”) Miss New York Teen USA (“NY Teen”)

These state pageants are herein referred to individually as a “State Pageant” and together as the “State Pageants”. The undersigned participant (the “Participant”) wishes to compete in one of the State Pageants, to wit: Miss New York USA (“NY Miss”) and in connection therewith intends by her execution hereof to recognize and agree to obligations with D & D. If the Participant is a minor, the legal guardian of that minor (the “Guardian”) wishes and intends by his or her execution hereof, on behalf of the minor, to recognize and agree to obligations with D & D. RELEASE AND INDEMNITY The Participant and/or the Guardian, as the case may be, hereby remises, releases and discharges D & D and Miss Universe, and any venue at which the State Pageant is held or at which food or storage of personal property is provided to Participants (together, the “Venue”), and their respective partners, affiliates, subsidiaries, and their officers, directors, employees, agents, and representatives, and their respective successors and assigns (the “Pageant Parties”) from any and all claims, losses, liabilities, costs and expenses, whether known or unknown at this time, on account of any matter, cause or thing whatsoever, which has happened, developed or occurred at any time, prior to the date hereof, or which may hereafter occur or arise as a result of the Participants entering, competing in, or presence at the State Pageant, including, without limitation, any injury or death suffered by the Participant or any parent, guardian or invitee of the participant or such parent or guardian or invitee; crimes committed in or near the Venue, claims of liability for products manufactured, or services performed by third parties which are offered as prizes, or sold to Participants, whether prior or subsequent to the State Pageant, and whether at the Venue or elsewhere; libel, slander or any other form of defamation by or of the Participant; any injury or death suffered or caused by any vehicle serving the State Pageant.

The Participant and/or the Guardian, as the case may be, hereby agrees to indemnify and hold harmless, to the fullest extent permitted by law, the Pageant Parties from and against all losses, costs and expenses incurred in connection with any action, suit, proceeding, claim, demand, investigation, or settlement directly or indirectly arising out of, is based upon, is a result of or is related to: the Participants entering, competing in, or presence at the State Pageant, including, without limitation, any injury or death suffered by the Participant or any parent, guardian or invitee of the participant or such parent or guardian or invitee; crimes committed in or near the Venue, claims of liability for products manufactured, or services performed by third parties which are offered as prizes, or sold to Participants, whether prior or subsequent to the State Pageant, and whether at the Venue or elsewhere; libel, slander or any other form of defamation by or of the Participant; any injury or death suffered or caused by any vehicle at the State Pageant or serving the State Pageant, including without limitation, any automobile, bus, van or other multi passenger commercial vehicle transporting Participants, any officers or directors of the Pageants, Pageant staff, employees, agents, contractors, or invitees, to or from any of the premises constituting the Venue in connection with the State Pageant; latent or other defects in the Venue; any action or omission by any other Participant, titleholder or former titleholder, judge, sponsor, or spectator of the State Pageant, or by any person in any way associated with the State Pageant, or the Venue, whether as officer, director, employee, staff, agent, independent contractor, chaperone, or otherwise; and any damage to or loss of Participant’s property.

Specifically excluded from this indemnity is any liability arising from gross negligence or intentional and willful misconduct of the Pageant Parties, except that no claim for libel, slander or other defamation shall be deemed excluded from this indemnity unless it is malicious, and no claim for any injury or loss shall be deemed excluded from this indemnity based upon an allegation of negligent hiring or engagement. The Pageant Parties specifically assume no liability whatsoever, whether for acts or omissions, or otherwise, in connection with those with whom you contract or come into contact as a result of participating in the State Pageant. The term losses and expenses shall include, specifically, but without limitation, all claims or causes of action; liabilities; losses; compensatory, punitive or other damages; and all reasonable attorneys’ fees incurred by the Pageant Parties, or any of them.

______Contestant Signature Parent/Guardian Signature (if under 18 yrs of age)

______Print Contestant Name Date Print Parent/Guardian Name Date 9

Comportment and Hotel Responsibilities

The Participant and/or the Guardian, as the case may be, agrees that polite and decent comportment at the State Pageant and the Venue is a requirement of participation or continued participation in the State Pageant. Any Participant may be removed from the Venue and not allowed to participate in the State Pageant as a result of the failure of such Participant to follow the rules and regulations of the State Pageant or the Venue, or the direction of State Pageant or Venue staff and employees, including, without limitation, chaperones.

If D & D provides lodging as part of the Venue, D & D shall pay the Venue’s base lodging rate only, and any other cost or expense of such lodging, including, without limitation, telephone, computer services, in-room movies, bottled water, valet, room service, food or beverage (other than food or beverage at communal meals provided by D & D), and any other additional charge or service billed to the room shall be borne solely by the Participant. The Participant agrees to share her hotel room with one Participant. The Participant shall be solely responsible for any damage to the Venue, which is caused by her or her invitees. The Participant shall also be responsible for her personal property, and any loss or damage thereto, whether by casualty, theft, or unknown cause, whether resulting from any act or omission of the Venue or otherwise. The Participant shall be required to timely vacate, and remove her belongings from any room or other portion of the Venue, at such time or times as is designated by D & D, and the Participant shall be responsible for any charge resulting from her failure to do so.

OTHER OBLIGATIONS; GOVERNING LAW

The obligations and agreements of the Participant are not intended to be comprehensive, but are in addition to any other obligations and agreements in connection with the State Pageant. This Release and Participation Agreement shall be governed by the law of the state where the State Pageant is held, exclusive of its choice of law rules.

______Contestant Signature Date

______Print Contestant Name

______Parent Signature (if Contestant is under 18 years of age) Date

Contestant Agreement

If I am chosen or succeed to the title of Miss New York USA 2018, I agree that:

# I will be managed solely by D&D Investments Inc. and the MISS NEW YORK USA pageant for civic and philanthropic appearances, and for commercial contracts of engagements for the period of time from January 14, 2018, through the final show date of the 2019 MISS NEW YORK USA pageant.

# I will not promote my likeness, name, or title for any product, service, or event at any time during the approximate twelve months of my reign referenced in Paragraph 1 without prior approval of my State Director.

# I will not contract for any commercial endorsement or guest appearance at any time during the approximate twelve months of my reign referenced in Paragraph 1 without prior approval of my State Director.

# I will not sign an exclusive contract with any agencies during the approximate twelve months of my reign, without prior approval of my State Director. # I shall make appearances as Miss New York USA 2018, at such time and place as shall be designated by my State Directors, Deborah N. Miller or Cynthia J. Provost or my Appearance Coordinator.

# I shall not make any appearances as Miss New York USA 2018 without prior consent from my State Director or appearance coordinator.

# I shall not conduct any interviews (radio, newspaper, television or otherwise) without prior consent from my State Director or Appearance Coordinator

# I shall not appear in a swimsuit in public as Miss New York USA 2018.

# I shall not smoke, chew gum, or drink alcoholic beverages during or immediately following an appearance as Miss New York USA 2018, or at any time while wearing my Miss New York USA 2018 crown and/or banner.

# I shall have my appearance attire approved in advance by my State Director before any appearance as Miss New York USA 2018.

# I shall endeavor to act as a role model and always as a professional while making an appearance as Miss New York USA 2018.

# I shall attend and compete in the 2018 MISS USA® pageant and agree to submit my social security number to the State Pageant Office upon request.

# If I am elected as First Runner Up, I understand that if for any reason Miss New York USA 2018 shall not or cannot fulfill her obligations, upon the request of the State Director, I shall act in the place of Miss New York USA 2018 and assume and perform such duties as the State Directors shall assign to me.

# I shall fulfill all appearance obligations as agreed on by my State Director, Appearance Coordinator, and Official State Sponsors, which will be provided to me upon obtaining the MISS NEW YORK USA® title. I shall not cancel any scheduled appearance without the acknowledgement and written permission from my State Director or Appearance Coordinator.

# I shall adhere to such other reasonable rules and regulations as the State Directors shall from time to time prescribe.

# If I win the applicable national title, I accept that this Agreement will become null and void immediately and I will thenceforth be managed solely by the MISS UNIVERSE® Organization.

______Contestant Signature Date

______Parent Signature (if Contestant is under 18 years of age) Date

Pageant Weekend Rules & Regulations

In order for this pageant to run smoothly and in the interest of fair competition, we require all Contestants to observe a few simple rules. Please make every effort to comply with the guidelines listed below. # When outside of their assigned rooms, Contestants must wear their pageant identification at all times. # During rehearsals and mandatory time in the dressing rooms, Contestants must not leave the area for any reason unless accompanied by a chaperone. All rehearsals will be closed to the public. # Contestants may not leave the hotel or theatre at any time during the pageant (including a trip to the parking lot) unless authorized by pageant officials. # Contestants may not have any visitors on their hotel floor or in their hotel rooms. This includes, but is not limited to: parents, friends, family members, hairdressers, etc. No one except for Pageant Staff will be allowed in the contestant’s rooms, dressing rooms or backstage during pageant weekend. # No room service or charged calls will be allowed unless the contestant places a deposit with the hotel. All room service charges and telephone bills are the responsibility of the Contestant. # Courtesy and proper language is required when dealing with other Contestants, the pageant staff, and the staff of our Host Hotel and Theatre. # Contestants must be on time to all scheduled events; this includes but is not limited to, reporting to the dressing rooms at the required times. # None of the contestants (outside of competition), their parents, friends, relatives, etc., are to engage any of the Judges or Auditor in conversation at any time prior to the absolute conclusion of the pageant. # There will be no public display of affection allowed between Contestants and their boyfriends. This includes but is not limited to: hand-holding, kissing, constant or prolonged hugging, walking arm in arm, etc. If in doubt, choose the side of caution. # There will be absolutely no smoking in public, and no drinking of alcoholic beverages by the Contestants at any time during the pageant weekend. Non-prescription drugs are not permitted. # All cell phones brought by Contestants must remain in the Contestant’s hotel room. Any cell phones used by Contestants at rehearsal, in the dressing room, or at special events will be confiscated. Contestants may use cell phones in the privacy of their hotel rooms as much as desired. # Pantyhose and/or stockings are not allowed for swimsuit competition. # All Contestants will participate the day of competition from beginning to end and will participate on stage for the crowning of the new MISS NEW YORK USA®. # Any misconduct or infringement of the rules may result in immediate disqualification and dismissal from the pageant.

______Contestant Signature Date

______Parent Signature (if Contestant is under 18 years of age) Date

Medical Information Form MISS NEW YORK USA®

Please type or print neatly to complete the information below.

Name: ______

Address: ______

City: ______State: ______Zip: ______

Phone #: ( ______) ______D.O.B. ______Age on 1/12/18: ______

In case of an emergency, we will attempt to contact a parent or guardian first.

Parent / Guardian Name: ______

Phone #: ( ______) ______Alternate Phone #: ( _____ ) ______

If we are unable to contact a parent or guardian, who should be contacted next?

Name: ______Relationship: ______

Phone #: ( ______) ______Alternate Phone #: ( _____ ) ______

List any pre-existing medical condition(s) we should make your pageant chaperone aware of: ______

List any dietary restrictions: ______

List any allergies: ______

List any medication(s) taken for allergies: ______

List any other regularly taken medication(s): ______(You may leave any of your medications that will need to be taken during pageant weekend with your chaperone. Your chaperone will remind you to take them according to your instructions.)

Name of family doctor: ______Phone: ( _____ ) ______

Medical Insurance Information (This information is not required to compete, but is given voluntarily in case of emergency.)

Insurance Company’s Name: ______

Subscriber’s Name: ______

Insurance Group / Plan #: ______ID / Subscription #: ______

Consent for Medical Diagnosis, Treatment and Billing of Insurance: We (I) hereby consent to allow D&D Investments, Inc., and staff to select a hospital, clinic or other medical facility that shall be authorized to treat the above named contestant for any medical problem that may occur during her stay at the pageant. In addition, we (I) hereby release D&D Investments, Inc. and staff from all liability and give permission to those granting services to bill our insurance company listed for any and all services rendered. Any existing condition will not effect or preclude active participation in all aspects of the pageant.

______Contestant Signature Parent/Guardian Signature, if under 18 or covered by parent’s insurance

Title Request Form ® MISS NEW YORK USA

All State Finalists will receive a pageant weekend competition sash with a title, the title will be printed on the sash and given to you on pageant weekend. This title should represent your city/town, county or the state of New York. A title can be the town, city or county that you live in, the school that you attend, a state landmark, a street etc…examples are provided below.

Please list 5 title options in the box provided below in the order that you prefer. Your title cannot have more then 24 letters, including spaces (ex: Binghampton University has 22 letters, including spaces.) We will do our best to choose one of your options, however, if all the title options listed have been delegated, the pageant will provide a pageant weekend competition title for you.

Title Examples:

Brooklyn Suffolk County Binghampton University Big Apple Fifth Avenue

Title Options for:______(Your first and last name)

1.______

2.______

3.______

4.______

5.______

Proof of Residency and Age Documentation MISS NEW YORK USA®

FOR REFERENCE ONLY - DO NOT MAIL THIS PAGE

There are several personal documents required in order for you to participate in the 2018 MISS NEW YORK USA® pageant. One document will show proof of your age and two documents showing proof of residency. Do not submit your paperwork without attaching these documents to the back of the Official Forms packet!

A. PROOF OF AGE: All contestants MUST submit a photocopy of their birth certificate or passport, even if you have participated in prior years’ competitions. Attach a photocopy of your Birth Certificate or Passport to the back of the Official Forms Packet. It does not need to be a certified or notarized copy. We cannot accept any other documents for this age requirement.

If you were NOT born in the United States, you must also attach a photocopy of your passport or naturalization papers, in addition to your birth certificate, establishing your age and that you are a citizen of the United States. Passports and citizenship papers are not acceptable as proof of state residency documents.

-- AND --

B. PROOF OF STATE RESIDENCY: In addition to a birth Certificate or passport for proof of age, proof of residency documents are required showing that you have resided in the State of New York for the full 6 month period prior to the pageant date. The documents you submit must have your name and address (not a parents name) on them and show a date. The dates listed on these documents (such as date of issue, statement date, invoice date, etc.) must have at least one dated before July 12, 2017, and at least one dated after 7/12/17. Please note, at least one proof of residency document you send MUST be from Column A below.

You MUST submit one (1) document from Column A AND two (2) from Column B. The 2 items from Column B must be dated accordingly (one dated before 7/12/17 and one dated after 7/12/17.) (Ex: License/permit and 2 bank statements with your name and address one dated before 7/12/17 & one dated after 7/12/17.)

Column A: *At least one document is Column B: One (1) dated before 7/12/17 AND REQUIRED from this column. One (1) dated after 7/12/17 • State driver’s license/permit (preferred) Documents • Current School Record from either (transcript or report card with your address) • State issued ID card column • Voter ID or registration card must have • Bank Statement (and/or proof of voter history provided by the state) contestant’s • Electric/Water bill • Income Tax return – State only name & Credit Card bill address • *(most recent tax year) listed and • Telephone or cell phone bill • Payroll Stub or W-2 be dated • Medical/Dentist Bill (must be dated before 7/12/17) correctly! Lease or deed for a dwelling • Automobile Registration • …or any other invoices in your name and address. (Showing your name as resident, and dated on or before 7/12/17)

NOT ACCEPTED: Passports and Social Security Cards are NOT accepted as proof of residency documents, nor are envelopes addressed to you, copies of blank checks from your checking account, items mailed to you from the pageant office, documents in your parent’s name that do not list your name, or any other document that does not show your name and address and a correct date as described above. The documents you submit must show your name and a New York address, even if it is not your current New York address. Any sensitive information such as credit card numbers, account balances, etc. may be crossed out.