Now's Your Time To Shine



Full Name:
Email Address (Make sure it is accurate):
Best Contact Phone Number:
Street Address:
Zip Code
Parent's Name if under the age of 18
Parent's phone number if under the age of 18
Do you agree to join our Miss Plus Teen Fitness Team today and make a serious effort to live healthy at least most of the time? (Required) Yes
Are you a natural born female? Yes
Will you be 13-19 years old on October 15, 2012? Yes
Do you wear a minimum dress size 12 (13 in juniors)? Yes
Do you agree to remain non-pregnant if under the age of 18 and unmarried from today until after October 15, 2012 or the end of your reign, if applicable, whichever comes first? Yes
Do you agree to mail all required submissions for full participation in this pageant by the deadline? Yes
Do you agree to remain in good moral standing from today until the crowning of Miss Plus Teen or until the end of your reign, if applicable, whichever comes first, as well as conduct yourself as an intelligent professional while fulfilling your appearance obligations as a Delegate of Miss Plus Teen? Yes
Tell Us About Your Platform (The Community Cause You Will Represent that is near and dear to your heart - ie., Animal Rights, Abortion, Women in Government, Childhood Obesity, etc.) and Why This Topic Is Close To Your Heart
Who referred you to us?
Name of Delegate who referred you, if applicable.
Why do you want to be a Delegate in the Miss Plus Teen Pageant?
We welcome your comments here:

This online form was provided by Freedback.
By submitting this application, I attest and agree that this application has been submitted by either the contestant (if over the age of 17), or the contestant's parent/guardian (if under the age of 18), and that the contestant:
  • is a natural born female
  • will be 13-19 years of age on October 15, 2012.
  • wears a minimum dress size of 12.
  • will possess good moral character, and will not be pregnant during the pageant or during her reign, if applicable.
  • will join Miss Plus Teen's Fitness Team and will commit to living a healthy lifestyle at least most of the time.
  • understands that participation in the Miss Plus Teen Pageant is voluntary, and will be responsible for all damages and liability, including all legal fees, and will hold Miss Plus Teen harmless against such.  
  • understands that Miss Plus Teen does not provide medical insurance, and that if medical insurance is desired, it is the responsibility of the contestant or her parent/guardian to obtain it.
  • understands that all fees are non-refundable except in the unlikely event that the Pageant is canceled by Miss Plus Teen.
  • understands that Miss Plus Teen reserves the right to modify any of it's site content, policies, and/or procedures as it deems necessary. 
  • agrees to allow Miss Plus Teen to use her photos, video or likeness for any and all promotional purposes or any other purpose deemed suitable by Miss Plus Teen.


Pay Your Recession-Friendly Fees Here




Miss Plus Teen Welcomes You!
(You will receive your Welcome Kit via email within 3 business days of payment of entry fees)