Mrs. New York America 2018
Please fill out the form for the 2018 Pageant. We will contact you soon.
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Email address
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Your email
DATE
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FULL NAME
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Your answer
HOME ADDRESS – CITY-STATE-ZIP CODE
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Your answer
HOME PHONE
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MOBILE
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AGE
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DATE OF BIRTH
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BIRTHPLACE
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U.S. CITIZEN
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No
HEIGHT
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WEIGHT
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EYE COLOR
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HAIR COLOR
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BUST-WAIST-HIPS
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SHOE
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DRESS
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SWIMSUIT SZ
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MARRIAGE (Month/Day/Year)
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MM
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DD
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YYYY
OCCUPATION & ADDRESS OF EMPLOYER
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HUSBANDS NAME
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CHILDREN’S NAMES & DATE(S) OF BIRTH
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NAME & LOCATION OF SECONDARY SCHOOL
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NAME & LOCATION OF COLLEGE, UNIVERSITY OR OTHER
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LEVEL REACHED & DEGREE(S)
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DESCRIBE CURRENT & RECENT COMMUNITY INVOLVEMENT
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HOBBIES, TALENTS & GENERAL BACKGROUND
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Your answer
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