Contestant name:
Age:  Birth date:
Address:
City: State: Zip:
E-mail::

How did you hear about our pageant?

Tell us three words that best describe you.
  ,,

Tell us about your educational background.
 

Tell us how you spend most of your time (working, studying, parenting, etc.)
 

Tell us about your hobbies, interests, & talents.
 

Tell us about any volunteer work you do or have done.
 

Tell us which achievement you are most proud of (in any area of your life).
 

Tell us about your family and what makes them special.

Tell us about your short-term and long-term goals.

Tell us why you think you should be chosen as a Miss American Rose representative?
 

BRIEF ESSAY - Tell us what you think are the most important things you hope to achieve in your life.

By checking here I understand that if I win my city competition, I have the option to continue onto the next level of competition representing my state, but I am not required to do so. All information on the application is accurate to the best of my knowledge. I promise to respect any title I am awarded and represent the Miss American Rose Royal Family with pride.

OPTIONALS:

I wish to enter the following Optional competitions:

Beauty:
I wish to enter the pictures for the Beauty optional.
    I will send my picture(s) by postal mail.
    I will e-mail my picture(s).
I wish to enter an essay for the Beauty Optional.
    I will send my essay by postal Mail
    I will send my essay by e-mail.
    I am submitting my Beauty essay below.

Career:
I wish to enter the Career optional.
    I will send my career entry by postal mail.
    I will send my Career entry by e-mail.
    I am using the space below to submit my Career information.

Community Service:
I wish to enter the Community Service optional.
    I will send my Community Service entry by postal mail.
    I will send my Community Service entry by e-mail.
    I am using the space below to submit my Community Service information.

Academic:
I wish to enter the Academic optional.
    I will send my Academic entry by postal mail.
    I will send my Academic entry by e-mail.
    I am using the space below to submit my Academic information (copies of report cards, transcripts, national test scores, etc. my be submitted by postal mail).

Talent:
I wish to enter the Talent optional.
    I will send my Talent entry by postal mail.
    I will send my Talent entry by e-mail.
    I am using the space below to submit my Talent information.

I wish to enter in the
Miss (18-22)
Ms. (23&up)

Representing:
1^st choice City, State
2^nd choice City, State

Entry Fees:
I will be sending my entry fee through PayPal
I will be sending her entry fee by postal  mail.

Check one: (See Prizes & Rules for more info).
Regular Prizes - $35 - $10 Optional competitions
Classic Prizes - $45 - $11 Optional competitions
Deluxe Prizes - $60 - $13 Optional competitions

I am adding $15 to receive the Deluxe tiara instead of the Classic tiara.

Check all you are entering. If you enter at least two optionals you will be eligible for the City Queen title.
Beauty Optional 
Career Optional
Community Service Optional
Academic Optional
Talent Optional

+$5.00 - required 2008 shipping surcharge (effective 10/21/07)

Total entry fees to be submitted $

Please send any additional materials by postal mail to:

|Miss American Rose Pageants
19689 7^TH Ave. NE, PMB 323
Poulsbo, WA  98370

Or by e-mail to miss@americanrose.com

Comments:
    

When you are done, click the Submit button. We will e-mail you to let you know your entry was received. We will give you your pageant date when your entry fee is received.