Official Entry Form - MISS NORTH CAROLINA USA and MISS NORTH CAROLINA TEEN USA

"*" indicates required fields

Which Competition Are You Applying For?*

(If you were born during 2004, you can compete in either division)

Miss North Carolina USA (Born during 1995-2004)

Miss North Carolina Teen USA (Born during 2004-2008)

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Contact Phone Number*

Email*

Enter Email Confirm Email

Date of Birth*

School/College

Grade/Year

Occupation

(if applicable)

Instagram

Just your username is necessary in this field. The @ symbol is not required. Example: rpmproductions

TikTok

Just your username is necessary in this field. The @ symbol is not required. Example: rpmproductions

Facebook

This will just be used as another contact method for you. Please include the whole link to your Facebook page. Example: https://www.facebook.com/rpmproductions

Parent/Guardian's Contact Information

If you're under the age of 18, please fill out your parent/guardian's contact information.

Parent/Guardian's Name

First Last

Parent/Guardian's Cell Phone

Parent/Guardian's Email

Enter Email Confirm Email

Title Choices & Photo

Please list up to 3 local titles that represent the area you’re from that you would like to use on your competition sash at the pageant*

Examples: Archdale, Iredell County, Lake Norman. (These can be your hometown, your county, a geographical region, etc.)

Attach Your Photo Here

*** For office reference only. Not for print in the program book. You will have the opportunity to submit your official headshot at a later date. ***

Accepted file types: jpg, heic, gif, png, pdf, Max. file size: 64 MB.

Eligibility Requirements

How Did You Hear About The Pageant?*

All Fees Are Non-Refundable*

I understand that as soon as I submit this application and initial payment, RPM Productions automatically makes the necessary plans for my participation in the pageant. Therefore, if I should drop out of the pageant, there will be no refund of the initial payment, nor for any fees paid subsequent to the initial payment. All fees paid are not transferable.

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Parent/Guardian's Contact Information

Title Choices & Photo

Eligibility Requirements

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