Please complete ALL of the information below
to apply for the 2011 state pageant.


   First & Last Name:    Referred by:

  Street Address: 

     City:    State: 

   ZIP Code: 

    Date of Birth :  Age: 

  Phone Number:        Cell Phone: 

Business Phone:  Occupation: 

     Email Address 1:   

     Email Address 2:   

Honors and Awards:   





                
                  Ambition:   







                Education: 

                   Hobbies: 




  


    AGE DIVISIONS:


  Parent's Name(s): 

      Street Address: 

                         City:       State: 

                ZIP Code: 


I hereby apply as an entrant in the state of: 

An official preliminary to America’s Perfect Teen® and Miss® Pageant

Applicant's Name: 

Parent or Guardian's Name:  (if applicant is under 21)

Parents Email Address:





No experience necessary.
            No talent competition.

  You Define Perfection!
Online 2011 Application

After you click submit you can make an online payment through our secure PayPal account by clicking the credit card link below.
Click On Credit Card Logo
You must print the 2011 Affidavit and mail a signed copy to the state office after you apply to complete your application process.  Also email to director@myperfectpageants.com a snapshot of yourself.
Don't forget to email your jpeg headshot after you hit the submit button.