Official Contestant Entry Form This form must be completed in order to officially register and compete Which Competition Are You Applying For?*(If you were born during 2004, you can compete in either division.)Select OneMiss Texas USA (Born during 1995-2004)Miss Texas Teen USA (Born during 2004-2008)Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone Number*Email* Enter Email Confirm Email Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Height* Weight* School/College Grade/Year Occupation(if applicable) InstagramJust your username is necessary in this field. The @ symbol is not required. Example: misstexasusa FacebookThis will just be used as another contact method for you. Please include the entire link to your Facebook page. Parent/Guardian's Contact InformationIf 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 PhoneParent/Guardian's Email Enter Email Confirm Email Eligibility RequirementsPlease scroll and read all of the eligibility requirements.*• I am a citizen of the United States • I meet the age requirements for this year’s pageant • I am recognized legally as female in the United States • I have never been married or had a marriage annulled (Applies to Miss Texas Teen USA contestants only. This rule does not apply to Miss Texas USA contestants) • I have never given birth to a child, am not a parent/guardian, and am not currently pregnant (Applies to Miss Texas Teen USA contestants only. This rule does not apply to Miss Texas USA contestants) • I have never had semi-nude or nude photos or footage taken of me • I will have lived in Texas at least 3 months prior to the pageant or am currently a full time student in Texas I agree all of the statements listed above are are trueHiddenEligibility* Please check the box if all of the following statements are true: I am a citizen of the United States I meet the age requirements for this year’s pageant I am recognized legally as female in the United States I have never been married or had a marriage annulled I have never given birth to a child, am not a parent/guardian, and am not currently pregnant I have never had semi-nude or nude photos or footage taken of me I will have lived in Texas at least 3 months prior to the pageant or am currently a full time student in Texas In ranking order, list up to 4 titles you would like to represent at the pageant. Your awarded title will be listed on your competition sash.*Examples: Fort Bend County, Stephenville, Brazos River, Horseshoe Bay (these can be your hometown, county, landmark, geographical region, etc.)How Did You Hear About The Pageant?*Select OneAn Area Recruiter/Local Preliminary Director gave me informationI linked from your Instagram accountI watched the Miss USA pageant on televisionI watched the Miss Universe pageant on televisionI heard about the Miss Teen USA national pageantI received a brochure in the mailI received information in an emailI received information from my Guidance CounselorI searched for the pageant onlineMy friend told me about the pageantMy friend competed in last year's pageantMy friend is competing in this year's pageantThe current titleholder told me about itI linked from your Facebook pageI linked to the state pageant from www.missusa.comI linked to the state pageant from www.missteenusa.comOtherPlease type name of Area Recruiter or Local Preliminary Director Have You Competed In Our Pageant Before?*Select OneYesNoList Pageants Competed*Select OneMiss Texas USAMiss Texas Teen USABothChoose Years Competed* 2014 2015 2016 2017 2018 2019 2020 2021 Choose Years Competed - Teen* 2014 2015 2016 2017 2018 2019 2020 2021 Choose Years Competed - Miss* 2014 2015 2016 2017 2018 2019 2020 2021 Attach Your Photo Here*For office reference only. This is not your Official Headshot.*Accepted file types: jpg, jpeg, heic, gif, png, pdf, Max. file size: 512 MB.HiddenAll Fees Are Non-Refundable* I understand that as soon as I submit this application and initial payment, the Miss Texas USA organization 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. Consent*I understand that as soon as I submit this application and initial payment, the Miss Texas USA organization automatically makes the necessary plans for my participation in the pageant. Therefore, if I should drop out of the pageant, do not meet the eligibility requirements, or must cancel my participation for any reason, 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. All Fees Are Non-Refundable* Δ
