Apply: America's Perfect Teen & Miss Pageant

First Name:

Last Name:

Street Address:

City:

State:

ZIP Code:

Date of Birth :

Age:

Phone Number:

Cell Phone:

Business Phone:

Occupation:

Email Address 1:

Eye Color:

Email Address 2:

Hair Color:

Height:

Dress Size:

Favorite Foods:

Shoe Size:

Honors and Awards:

Ambition:

Education:

Hobbies:

Talent, if any:

State Director:

AGE DIVISIONS:

Ages 12-15 years : Junior Teen	LITTLE MISS PERFECT
Ages 16-19 years : Teen	Ages 0-23 months	Ages 7-9 years
Ages 20-29 years : Miss	Ages 2-3 years	Ages 10-11 years
Ages 30 years and beyond : Woman	Ages 4-6 years

Parent's Name(s):

Street Address:

City:

State:

ZIP Code:

ENTRY FEE & DEADLINE, HOTEL ARRANGEMENTS:
The total entry fee is $895.
Simply call in your credit card payment to: (954) 322-0312
or mail a check to:

America's Perfect Teen & America's Perfect Miss National Headquarters
3251 Hollywood Blvd. Suite 441
Hollywood, FL 33021

National Director: Michael Galanes

director@americasperfectteen.com

I hereby apply as an entrant in the state of:
An official preliminary to America’s Perfect Teen® and Miss® Beauty Pageant

Applicant's Name:

Parent or Guardian's Name: (if applicant is under 21)