Miss United States Pageant

After completing this application, please click the SUBMIT APPLICATION button

below to submit it electronically.

No Refunds for State or City Titles!

Official Application

Online Pageant & Age Division

Please select your State and Division

Payment Plans Offered

Tell us about yourself

Submit an paragraph about yourself below. Don't forget to email a photo to our

office at wincrown@aol.com.

Crown & Banner Photos

Name of Referral Source/How did you hear about us?

Secure your City or State Title!!

Please submit this application online and send check or Money Order

to the Miss United States Pageant.

Includes Official State Title. Crown & Sash- PLUS FREE Nat'l Entry Fee Paid into our 2012 Miss United States Online Pageant - a $500 Value *Does not include other fees.

SPECIALTY TITLES

One Payment

$299.00 +

$5 Paypal Fee

= $304.00

Two Payments

$50 Deposit Now -

to hold your state title

$249.00 - In 2 Weeks*

We will ship your official City or State crown and sash within 3-4 weeks. When you get it, please send us a crown and banner photo so we can feature you on our website, send out press releases (optional), articles and photos to magazines etc.

As a State Representative/Titleholder you will be able to make appearances (optional), may have modeling opportunities and have a lot of fun during your year. Any questions, please email our office at wincrown@aol.com.

*Your payment plan will be cancelled if payments are missed. No refunds. Contact our office ASAP if you anticipate a problem keeping your payment schedule.

State & City Titles:

Custom Made Sash will ship 3-4 weeks after final payment is made.

As parent and/or legal guardian of the above stated entrant or self  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 understand that my sash will be ordered according to the division I select.  Sashes are custom made and take 3-4 weeks. We do not award crowns to male winners. Crown awarded to state winners is located at http://www.missunitedstatespageant.com/AboutUs.html (place mouse over national photo to see the state photo of Miss Wyoming).  You may also request a photo by email. I also understand that once prizes are shipped either from the national office or a supplier, the Miss United States Pageant is not resposible for damage or lost packages.  If the winner wants to purchase insurance, they are welcome to contact the national office for a rate.  Insurance must be purchased prior to packages being shipped.  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, including payment plan missed payments.  I also understand that if I miss a payment my payment plan will cancel without further notice and the plan will not be reinstated.  Lastly I understand that the State Package fee of $299 includes the $500 National ENTRY FEE paid, but it does not include other mandatory fees such as the $100 Registration Fee, $100 Sponsor Fee or fees for Optional Catagories such as Ambassador, Mini Optionals or Photo Catagories.  I understand that this is a State Application for a state or city title and NOT a National Application for nationals scheduled for March 25, 2012.
Furthermore, I understand that as a state titleholder I am not required to compete in Nationals.  I understand that I will submit a national application only if I decide to compete in Nationals.