Contract Request Form
Thank you for your interest in the Miss Johnston County & Miss Cleveland and Miss Smithfield Scholarship Organization. Join us as we crown 5 NEW Queens December 9, 2023 at 5:00 pm. Please provide us with more information below and we will send you the required contracts to compete in our organization.
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What is your name? (First and Last) *
What is your email address? *
What is your phone number? *
What is your home mailing address? *
What county do you reside in? (If you are a Carolina Star, please just type Star) *
How old are you? *
What is your birthdate? *
What school/university do you attend? *
What talent will you be performing? *
Please select one of the following *
December 2nd (Miss and Teen Candidates only in Benson, NC)
December 3rd (Carolina Stars only in Benson, NC)
December 8th (All Candidates & Carolina Stars) at Cleveland High School, Clayton, NC
Have you registered on the Miss America Portal? *
If you are a Miss Candidate, will you be competing as Miss Cleveland or Miss Johnston County? (Miss Cleveland is our 'open' title and you can reside in any NC county, Miss JoCo is our 'closed' title and you must reside within our eligibility requirements (outlined on our website *
Please choose one to let us know if you'd like additional support in your registration/paperwork process. *
Additional feedback, if needed
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