After completing this application, please click the SUBMIT APPLICATION button

below to submit it electronically.

Please add $5 to your total for Paypal payments.

Pageant

TM

Official Application

Marital Status

Online Pageant & Age Division

Send Paypal payments to proflashpoint@aol.com.

Send Photos and/or questions to wincrown@aol.com

Next DEADLINE:  March 25, 2009

Please write a paragraph about yourself and why you want to be Miss United States or why you want to represent your state.

Personal Statement

Please select your Division

Please select your State and Division

Optionals

Ambassador Essay

Submit an essay about your community service if you are entered in the Amassador Competition. Essay should be at least 250 words and include the following: 1)  Description of Service, 2)  Hours of Service and 3) Indicate what service means to you. You are welcome to submit any letters, awards, photos, etc. that can verify your community involvement.

Photos

Contestants may enter additional photos for the Miss United States Pageant, State Pageant and Optionals for $5 each.  Please submit photos to wincrown@aol.com.

Name of Referral Source

Click OPTIONAL link  for explanation of these optionals

Next Deadline:  March 25, 2010

Please complete & submit the this application with fees. 

Please email your photos to wincrown@aol.com.

Payment Plans Available!

As parent and/or legal guardian of the above stated entrant I attest to the forgoing information regarding the entrant.  I give my permission to utilize the information contained along with any photos for publicity for the Miss United States Pageant.  I hereby release  the Miss United States pageant, it's directors, agents, employees, judges, etc. from claims of any kind of nature arising out of damage of persons or personal property occasioned by or in connection with any portion of entrant's participation.  I understand there are no refunds for any reason, however, credits will be extended. 

I have read and understand the above Release.

SingleMarriedDivorcedSeparated

Miss United States Pageant $250

State Pageant $150

Select TitlePre-TeenMiss Teen United States Miss United States   Ms United States

Select Age Division         10 - 13 Years          14 - 16 Teen17 - 25 Miss         26 & Up Ms

Select Age Division         10 - 13 Years          14 - 16 Teen17 - 25 Miss         26 & Up Ms

Photogenic $50

Ambassador $25

Beautiful Face $10Beuutiful Eyes $10Beautiful Smile $10Beautful Hair $10

Most Beautiful Gown $10Best Sportswear Outfit $10Enter all 6 for Special $50

Select StateAlabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri  Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming