Official Entry Form

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Official Entry Form

Official Entry Form

Which Title Are You Applying For?*

(If you were born during 2007, you can compete in either the Miss or Teen division. If you were born in 2012, you can compete in either the Teen or Junior division.)

Miss All American (Ages 19-29)

Miss Teen All American (Ages 14-19)

Miss Junior All American (Ages 10-14)

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Contact Phone Number*

Email*

Enter Email Confirm Email

Date of Birth*

School/College

Grade/Year

Grade/Year (Other)

Occupation

(if applicable)

Instagram

Just your username is necessary in this field. The @ symbol is not required. Example: rpmproductions

TikTok

Just your username is necessary in this field. The @ symbol is not required. Example: rpmproductions

Facebook

This will just be used as another contact method for you. Please include the whole link to your Facebook page. Example: https://www.facebook.com/rpmproductions

Parent/Guardian's Contact Information

If you're under the age of 18, please fill out your parent/guardian's contact information.

Parent/Guardian's Name

First Last

Parent/Guardian's Cell Phone

Parent/Guardian's Email

Enter Email Confirm Email

Title Choices & Photo

While this is a national pageant, we will not have assigned state titles. Each contestant will compete as a city, county, geographical region, etc. Please list up to 3 titles that represent the area you’re from that you would like to use on your competition sash at the pageant. Examples: Nashville, Gulf Coast, Lake Michigan. (These can be your hometown, county, a geographical region, etc.)

Title Choice #1*

Title Choice #2*

Title Choice #3*

Attach Your Photo Here

*** For office reference only. Not for print in the program book. You will have the opportunity to submit your official headshot at a later date. ***

Accepted file types: jpg, jpeg, heic, gif, png, pdf, Max. file size: 150 MB.

Eligibility Requirements

All Fees Are Non-Refundable (Contestant)*

I understand that by submitting this application and making the initial payment, RPM Productions begins making the necessary arrangements for my participation in the pageant. As such, I acknowledge that if I choose to withdraw from the pageant for any reason, the initial payment and any subsequent fees paid are non-refundable. Furthermore, all fees paid are non-transferable.

All Fees Are Non-Refundable (Parent)*

I, the undersigned parent or guardian, understand that by submitting this application and making the initial payment, RPM Productions begins making the necessary arrangements for my child's participation in the pageant. I acknowledge that if she withdraws from the pageant for any reason, the initial payment and any subsequent fees paid are non-refundable. Furthermore, all fees paid are non-transferable.

Registration Fee Payment*

I would like to pay my Registration Fee now.

I have already paid my Registration Fee.

I would like to pay my Registration Fee later.

PAYMENT

Registration Fee*

Price:

5% Convenience Fee

Price: $0.00

Total

Billing Name

First Last

Billing Address

Street Address Address Line 2 City State ZIP Code

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Official Entry Form