application

STATE APPLICATION AGREEMENT

Select Pageant

MISS USA® State Pageant: Must be born during the year 2005 or before

MISS TEEN USA® State Pageant: Must be born during the years 2005-2009

Today’s Date

Applicant Name

Email

At least one of the following is true:

(1) I now reside and have resided in my State as my “permanent and primary residence” for a period of at least ninety (90) consecutive days immediately prior to the date of the State Pageant. “Permanent and primary residence” or “Permanent and primary residency” means my true, fixed and permanent domicile which I intend to make my permanent home; OR (2) I have resided in the State as a full-time student at a school, college or university for one full semester, trimester or summer session immediately prior to the state pageant, and still enrolled as a full-time student at a school, college or university and will continue to reside in the state (although I may spend the summer in another state). For the avoidance of doubt, I will not satisfy the requirements of paragraph (2) if I reside in one state, and I am enrolled in an online school, college or university located in another state; OR (3) I retain full-time employment in the State (i.e., I work at least forty (40) hours per week in the State, and I qualify for employment benefits provided by my employer) and have maintained such full-time employment for a period of at least ninety (90) consecutive days prior to the date of the State Pageant.

You must be able to agree that the statement below is true to be eligible to compete in the age division you have selected.

MISS CONTESTANT: I agree that I was born during the year 2004 or before, that I am a United States citizen, and I represent and warrant that I am a female (recognized medically and legally as a female in the United States). I have never participated in a previous national MISS USA PAGEANT. TEEN CONTESTANT: I agree that I was born during the years 2005-2009, that I am a United States citizen, I represent and warrant that I am a female (recognized medically and legally as a female in the United States), I am single, I have never been married, I do not have a child, I have not given birth to a child, and I am not currently pregnant. I have never participated in a previous national MISS TEEN USA® PAGEANT.

Please check every box and sign below.

I will not participate in any other pageant leading to a national pageant that may be similar in concept to that of the MISS USA/TEEN USA State Pageant, from the date this agreement is signed, until after the 2024 MISS USA/TEEN USA State Pageant. I further agree that my failure to keep and perform this aforesaid agreement shall, at the option of Greenwood Productions, and/or MISS USA/TEEN USA® Pageant, terminate my present status as a contestant and bar me from the MISS USA/TEEN USA State Pageant and/or any MISS USA/TEEN USA State Pageant preliminaries. I am and will continue to be a person of good moral character; I affirm that I have not committed and will not commit any act inconsistent with the highest standards of public morals and conventions or that will reflect unfavorably on the pageant, its representatives, sponsors and/or licenses; that I have not appeared in the nude or provocative photographs for any film or publication prior to the MISS USA/TEEN USA State Pageant, nor will I during my reign should I become the State Winner or MISS USA/TEEN USA®.

By the signature below, applicant or her parent/guardian (if contestant is under the age of 18) certifies that they have read and understand the rules and regulations as set forth within and that applicant meets the requirements and will comply with the rules and regulations stated. Any untrue statement of failure to comply may result in applicant’s disqualification.

Parent or Guardian Name: (if contestant is under 18 you must sign on her behalf)