Contestant's Name *

First Name

Last Name

Parent Name (If under 18)

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contestant's Date of Birth

MM

DD

YYYY

Age as of May 1, 2026

MM

DD

YYYY

Division Applying For

Little Miss (4–6)

Young Miss (7–9)

Preteen (10–12)

Junior Teen (13–15)

Teen (16–19)

Miss (20-29)

Elite (30-45)

Elegant (46+)

Modern (Age 18+, Size 14+)

Remarkable Miss Ages 4+ (for contestants with differing abilities)

I confirm all information is accurate and complete. *

I Agree

I understand a $200 non-refundable deposit is due upon acceptance. *

I Agree

I give US MISS permission to use my name and photo for promotional purposes. *

I Agree

I agree to receive updates and marketing messages from US MISS. Msg & data rates may apply. *

I Agree