Titleholder Basic Information

24-HOUR FORM // Teen Contestants

This form is to be completed and submitted within 24 hours of Crowning.
*File form in Application Workshop Binder

Titleholder Information

Legal Name

First Name

Last Name

Date of Birth

YYYY

Age as of July 31, 2018

Name for Publicity

Platform

Talent

Tentative Music Reservation

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Name of School

Expected Date of Graduation

YYYY

Please list any allergies or food preferences (i.e. vegetarian)

Parent/Guardian initials (confirming submission and validity of information above):

Local Executive Director Information

Local Program Title

Special Awards from Local Program

i.e. Scholastic Achievement, Talent, Miss Congeniality

Teen Director

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Parent or Guardianship Information

If one or both parents/guardians are deceased or if parents/guardians are separated or divorced, please provide the legal custodial information on the line(s) below so that MAOT staff to include security, medical and hostesses will know how to proceed in contacting the applicable parents/guardians before and during the pageant.

Primary Parent/Guardian Information

Name

First Name

Last Name

Relationship to Teen

Address (if different from above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Parent/Guardian initials (confirming submission and validity of information above):

Princess Information

Princess Name

First Name

Last Name

Age

Princess Parent Information

Parent Name

First Name

Last Name

Phone

(###)

###

####

Contestant Wardrobe Sizing

(Where applicable include Small/Medium/Large/Extra Large AND Numerical Sizes 0 -18)

T-Shirt Size

Cocktail Dress Size

Specify (Petite or Regular)

Bra Size

Jeans Size

Yoga Pant Size

Shoe Size

Remarks

Parent/Guardian initials (confirming submission and validity of information above):