PRELIMINARY CONTACT INFORMATION FORM

I am ready to apply and would like to have a pageant coordinator call me at once. By sending this form I understand there are pageant expenses such as hotel and meals and that this is not a FREE event. You also know to provide quality photos, transportation to event, a birth certificate copy and school transcripts along with entry fee by deadline as required by pageant guidelines-however you dont have to be a student to participate. Registration is non-transferable and non-refundable.

e-mail coordinator at Pageant@hispanos-usa.com

Make sure you can guarantee to fulfill age and other requirements.
 
Required*
FIRST NAME   *
LAST NAME   *
Age   *
ADDRESS  
CITY   *
STATE   *
ZIP   *
PHONE
 		  *
EMAIL   *
DATE OF BIRTH   *
 
Not 18-my legal guardian/parent is:
FIRST NAME   *
LAST NAME   *
ADDRESS   *
PHONE  
CITY   *
STATE   *
ZIP   *
     
13 to 19 yrs old [Teen]
20 to 26 yrs old [Miss]

We are honored you are considering to enter the nations' talent and scholarship pageant-Thank you!