Please complete ALL of the information below
to apply for the 2012 state pageant.
First & Last Name: 
Referred by:
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:
State: ZIP Code:
I hereby apply as an entrant in the state of:
An official preliminary to America’s Perfect Teen®, Miss® & Woman® Pageant
Applicant's Name:
Parent or Guardian's Name: (if applicant is under 21)
(if applicant is under 21)Parents Email Address:
No experience necessary.
No talent competition.
You Define Perfection!
Online 2012 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
***DON'T FORGET***
Email to director@myperfectpageants.com a snapshot of yourself to complete your application process.
Don't forget to email your jpeg headshot after
you hit the submit button.
OHIO | MICHIGAN
