2018 Miss & Teen Fort Worth & COPPELL
Contestant Application
Full Name: ______
Mailing Address, City & Zip: ______
Email Address: ______
Home Phone: ______Cell Phone: ______
Parent’s Name ______
Parent’s Home Phone: ______Parent’s Cell Phone: ______
Parent’s Email Address: ______
I am Interested in entering the following division:
______Teen (May compete at age 12 but must be 13 yrs of age by the first day of the State Competition and may not turn18 yrs of age on or before July 31st of the year of the National Finals in which she will compete. Can be no more than a Junior in High School)
______Miss (must be between the ages of 17-24 and at least a 2018 graduating High School Senior but no older than 24 yrs of age on December 31, 2019.)
Platform Issue: ______
Talent: (type of talent) ______Music Selection:______
Birthdate:______Age: :______
High School:______Graduation Date:______
College:______Classification:______
Ø TEEN - $150 entry fee is required. Please make checks payable to ECSO or you can pay online at www.MissFortWorthPageant.org A $5.00 fee will automatically be added for using a Credit Card.
Ø MISS – there is no initial entry fee. You must raise $100 for the Children’s Miracle Network (CMN) to be eligible to compete. Go to http://www.missamericaforkids.org/ to pay your CMN fee. A printed copy of your CMN donation must be received prior to pageant registration in order to compete. A $100.00 refundable deposit in the form of a check payable to ECSO will be required which will hold your place and will be returned upon your arrival at the pageant or at the completion of the evening. If you win a title prior to Miss Fort Worth / Coppell,, your check will be returned or shredded. If you just drop out or do not show up, your check will be cashed!
Ø Additional paperwork available at www.misstexas.org is required after verification of your application. All paperwork MUST be received by November 12, 2017.
Ø Once your entry fee (Teen) or copy of your CMN receipt (Miss) and deposit is received, your slot will be secure for the 2018 Pageant.
Ø By submitting this application, you understand each item above.
Miss & Teen Fort Worth & Coppell Pageant * 326 Shadowwood Trail * Ovilla, TX 75154
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