OFFICIAL APPLICATION FORM If You Are Single (Never Married), Not Pregnant (Never Given Birth), Legally a Female, a U.S
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® ® ® ® ® ® ® ® Miss ID USA Miss ID Teen USA Miss MT USA Miss MT Teen USA Miss OR USA Miss OR Teen USA Miss WA USA Miss WA Teen USA / | / | / | / Pageants NW, a division of NW Productions, LLC | 17404 Meridian E, Ste. F, #146 | Puyallup, WA 98375 | 253.271.6231 | [email protected] Independently produced by Pageants NW, a division of NW Productions, LLC under license from IMG Universe, LLC dba - The Miss Universe Organization. OFFICIAL APPLICATION FORM If you are single (never married), not pregnant (never given birth), legally a female, a U.S. Citizen, a resident or a full-time student in the State you wish to compete in, and are between the ages of 14 and 27, we invite you to APPLY TODAY! Should you be accepted, you will compete in the official state preliminary to the MISS USA® or MISS TEEN USA® Pageant. As a contestant, you will be judged in three equally scored categories consisting of Personal Interview, Fitness and Evening Gown. There is no previous experience or talent performance required. Please complete the form below (and attach a recent snapshot if you would like to). Once we receive your application, you will be notified by email for a potential interview. If you have any questions, please contact the pageant office at: 253-271-6231 (between 9am - 6pm PST) or email [email protected] PLEASE CHECK ONE OF THE FOLLOWING PAGEANTS: MISS DIVISION (if you are at least 18 and under 28 as of January 1st, 2021) TEEN DIVISION (if you are at least 14 and under 19 as of January 1st, 2021) ® ® ® ® □ Miss Idaho USA □ Miss Montana USA □ Miss Oregon USA □ Miss Washington USA □ Miss Idaho Teen USA® □ Miss Montana Teen USA® □ Miss Oregon Teen USA® □ Miss Washington Teen USA® Today’s Date: NAME: DATE OF BIRTH: AGE: ADDRESS: CITY: STATE: ZIP: E.MAIL: YOUR CELL: ETHNICITY EMPLOYER (if any): SCHOOL/COLLEGE: YEAR: SOME OF YOUR GOALS/HOBBIES/TALENTS: DESCRIBE YOURSELF IN THREE WORDS: PARENT'S NAME(S): HOME PHONE: ADDRESS: CITY: STATE: ZIP: FATHER'S OCCUPATION: CELL PHONE: MOTHER'S OCCUPATION: CELL PHONE: FATHER’S EMAIL: MOTHER’S EMAIL: HOW DID YOU HEAR ABOUT THE PAGEANT? (Be Specific): WHO REFERRED YOU (IF ANY): WHAT LOCAL TITLE WOULD YOU LIKE (ie, Miss NE Treasure Valley Teen USA, Miss Seattle USA, Miss EWU USA, Miss Columbia River Teen USA, Miss Tri Delta USA, Miss Inland Empire Teen USA, Miss Multnomah County USA, Miss South Missoula Teen USA, etc.) 1st Choice: 2nd Choice: Please Note: If accepted, you may use your local title to contact sponsors to help cover your fees including food, lodging, rehearsals, etc. for the Pageant. .