Candidate Entry Form
The information listed on this form is for committee use only. This form will not be sent to judges.
Entry Deadline: January 12, 2020
Teen Early Bird Deadline: November 30, 2019
Candidate Entry Category *
First Name *
Your answer
Last Name *
Your answer
Birth Date *
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Address (including city, state, zip) *
Your answer
Email *
Your answer
Phone (cell number preferred) *
Your answer
Employer (if applicable)
Your answer
Parent/Guardian/Emergency Contact #1 Name (First & Last) *
Your answer
Parent/Guardian/Emergency Contact #1 Relation to You *
Parent/Guardian/Emergency Contact #1 Phone *
Your answer
Parent/Guardian/Emergency Contact #1 Email *
Your answer
Parent/Guardian/Emergency Contact #2 Name (First & Last) *
Your answer
Parent/Guardian/Emergency Contact #2 Relation to You *
Parent/Guardian/Emergency Contact #2 Phone *
Your answer
Parent/Guardian/Emergency Contact #2 Email *
Your answer
School (if applicable)
Your answer
Grade (if applicable)
Your answer
Graduation Month & Year (if applicable)
Your answer
Major/Minor (if applicable)
Your answer
T-Shirt Size (women's) *
Height *
Your answer
Have you held any other Miss America Organization Title (miss and/or teen)? If yes, please list title(s) and year(s). *
Your answer
Have you competed in any other Miss America Organization competition (miss and/or teen)? If yes, please list title(s) and year(s). *
Your answer
Have you competed in any pageants/competitions or won any titles outside of the Miss America Organization (miss and/or teen)? If yes, please list title(s) and year(s)?: *
Your answer
Type of talent you plan to present *
How did you hear about us? *
If someone referred you to us, please list their name. (Teen candidates: For every teen entry form that lists you as a referral, you will get a $20 reimbursement for your entry fee. See Standards of Conduct form for rules and regulations.)
Your answer
Medical Health - Physician name *
Your answer
Medical Health - Physician phone number *
Your answer
Medical Health - Please list any drug allergies, or write "none" *
Your answer
Medical Health - Please list any food allergies, or write "none" *
Your answer
Medical Health - Please list any other allergies, or write "none" *
Your answer
Medical Health - Please list any prescription medications you are currently taking, or write "none" *
Your answer
Medical Health - Please list any over the counter medications you are currently taking, or write "none" *
Your answer
Medical Health - Please list any special dietary needs you have, or write "none" *
Your answer
Medical Health - Please list any other medical or health concerns we need to know about, or write "none" *
Your answer
The 2020 Miss Spokane Fashion Show will be held on January 19, 2020. Please let us know if you can commit or do not commit to attend and participate. If your circumstances change, you must inform a member of the MSSO Committee immediately! Your outfit(s) for the fashion show will be chosen for you by a vender who is graciously donating his or her time and clothing to be worn during the fashion show. You are not to debate with any vendor regarding your outfit for the fashion show, instead you are to contact a member of the MSSO Committee if you have any questions or concerns. You are not to contact any vendor unless told to do so by a member of the MSSO Committee. *
ACKNOWLEDGEMENT OF ELIGIBILITY: I am female; I am a United States citizen; I have never been married and have never had any children; I am of good moral character; I am not involved in any other competition of a nature similar to the Miss America and Outstanding Teen Organizations; I am able to meet the time commitment and responsibilities; I meet the residency and geographic requirements; I meet the standards put forth in the MAO/MAOT Local Candidate Contract. MISS SPOKANE: I am or will be at least 18 years of age as of July 31, 2020 and will not be more than 25 years of age on December 31, 2020; I am or will be a high school graduate or will have received my GED by July 31, 2020. OUTSTANDING TEEN: I am or will be at least 13 years of age on the first day of the state competition and will be no older than 17 years of age as of July 31, 2020 (unless I am 18 years of age and have not graduated from high school as of July 31st, 2020). *
TEEN CANDIDATES ONLY: Please choose payment method. (Early bird teen entry fee $150; regular teen entry fee $200. Entry fee must be received before candidate can participate in workshops, rehearsals, events, etc. Please make checks payable to Miss Spokane Scholarship Organization and write the candidate’s name on the memo line. To be eligible for the early bird entry fee, the payment must be received on or before November 30, 2019 – no exceptions.)
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