EmailMe Form - Miss U.S. Plus World/Ms U.S Plus Intercontinental

Name *

First Last

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Date of Birth *

MM / DD / YYYY

Home number

### - ### - ####

Cell number *

### - ### - ####

Best number to call *

Best time to call *

Miss 18-39
Ms 40+ *

T-Shirt Size
Pant size *

Headshot *

Facebook URL *

Optional Competitions

Acknowledgements *

Yes

*I understand that there are no refunds under any circumstances.
*I understand that in order to claim a state title I must pay a $50 deposit upon completion of application.
I certify that I meet the pageants size requirements of size 12+.
*I understand all scores and judges decisions are final. I also understand scores are made available upon the director’s discretion after the National competition.
*I give Miss U.S. Plus World/Ms. U.S. Plus Intercontinental, and Pageant Girls that ROCK ,llc and its affiliates, permission to use my likeness for the purposes of promotion of the Miss U.S. Plus World/Ms. U.S. Plus Intercontinental Pageant.
Minimum Requirements:
Participation Fee*$650
Includes:
Entry Fee
PGTRock Magazine Feature
2 combined meals
Official Custom State Crown
Official Custom State Sash
2 Pageant admission Tickets
Welcome Gift bag
Hotel Accommodations for the Holiday Inn- Airport (Assigned Double Occupancy - Single rooms may be secured-- contact the pageant.)
*I understand that I must have completed at least 50% ($325) of my participation fees in order to receive my State Regalia if I am an At-Large Delegate.

Failure to meet these obligations may result in my removal as a participant, at which time I will be forbidden from making any reference to an association with the Miss U.S Plus World Organization.